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Thread: Might hot compresses and/or lid scrubs actually WORSEN blepharitis?

  1. #1
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    Default Might hot compresses and/or lid scrubs actually WORSEN blepharitis?

    Is that possible?

    For around four weeks, since late December, I noticed that when I woke up my left eyelid was a little swollen and both eyes a little bit red. Within an hour of waking up, paying no special attention to my eyes, cleaning them etc. my eyes were pretty much normal. Two different GPs save me eye drops for something the second one assured me would clear up by itself with six weeks anyway. I was sort of inclined to agree - the situation hadn't worsened over the course of four weeks it just hadn't improved. And each time I had visited the GP, as it wasn't first thing in the morning, my eyes looked practically normal.

    Yet, I was referred to an eye specialist ('just to be sure' the doctor hadn't missed anything) and four days ago was disgnosed by them as having blepharitis. Something of a shock. Since then I have been using hot compressses twice a day, massaging my eye lids and, for the past two days, also using Sterilid. And in those four days my eyes have started to look noticeably WORSE. One eye lid is no longer worse than the other but both are slightly inflamed all day instead, it looks like I have been crying all the time and sections of my lower lids are bright red ALL DAY AND NIGHT.

    I know it sounds stupid but it's like the moment I was told I had a far more serious problem than I originally thought was the moment it really kicked in. Or:

    1. Can lid scrubs and/or hot compresses actually worsen the problem? Does this suggest I am being too rough on my eyes? Or
    2. Do all symptoms get worse after starting the above treatment, before they get better?

    Any ideas/similar experiences, please x 100?

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    When I tried a commercial eye scrub/wash, my eyes got MUCH worse. I have always assumed I was sensitive to the ingredients in it, and have never tried another.

    What kind of drops are you using? Commercial dry eye eyedrops seem to make my eyes drier in the long run, perhaps you are having a similar problem?
    Types I, II, IV - mild to moderate, depending ...

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    Default Sterilid

    Thank you so much for replying, bellableu.

    The answer is Sterlid - at first following the instructions on the bottle (using fingers), but as of last night switching to using a cotton bud in case that makes a difference (something I can't really fathom - you're still applying it to your eye, is the use of cotton buds supposed to stop you accidentally rubbing it into your eye or just provide more accuracy). I get a slight burning sensation on my right eyelid, not the left, which I suppose pretty much answers your question and makes me stupid for continuing to us it. I'm just keen to blitz this and get it under control.

    Have you had success with a different product? LidCare by Ciba is the only other one that is readily available in New Zealand. Do you think saline is the way to go? But does it actually do the job.

    I would also be very grateful indeed as to whether you think my general routine is a good one and if I'm doing everything in the righ order?

    Twice a day, I:

    1. Stand in the shower with hot water very gently trickling onto a face cloth that I have placed over my closed eyes, so that it remains warm. Keep doing this for five minutes of so.
    2. Rub my closed eyes for around a minute in a circular motion. I have noticed some gunk come out that way, though whether it is the clogged oil or just normal eye dirtiness I have no idea. Rolling the end of cotton buds over ones cotton buds seems to be the preferred method according to the internet at large but I can't see it doing any good. It just seems like I'm prodding my eye to no benefit.
    3. Apply Sterlid to where my eye lids meet over my closed eyes using cotton buds, leave for one minute then rinse off under the shower - hot water followed by cold.
    4. Swallow a 1000mg flaxseed oil pill.

    Also, in place of a rice baggy (preferable to the face cloth in the shower?), could one use any heat-retaining bag that you put in the microwave? Stupid question I know but just want to make sure before I do something else stupid.

    Thank you in advance for any help or advice you can offer
    Last edited by Wondering; 31st January 2011 at 04:54 AM.

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    Well, gosh, I wish I could give you a definitive response, but I've only been partly successful in treating my eye symptoms.

    I abandoned commercial products (with the exception of allergy eye drops, which seem to help a little - I only use them two or three times at most during the day) & don't do any formal eyelid scrubs. Castor oil drops and gentle warm water eyelid massage seem to help my general eye comfort. That's the closest thing to a routine I have. Most days my eyes feel fine, tho' I don't like that they are redder now than they used to be.

    Some days or evenings are more uncomfortable and I haven't yet found a good way to really nip that kind of eye irritation.

    I'm sorry I can't be of more help with your questions, but I honestly don't know what to advise.

    Hopefully someone better informed than I in the ways of blepharitis control will be along soon!
    Last edited by bellableu; 31st January 2011 at 05:31 AM.
    Types I, II, IV - mild to moderate, depending ...

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    No problem, thank you for the help you have given. And I am asking A LOT of questions

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    Sorry, Bella, a little clarification: do you mean that that your eyes are no redder than they ever were? i.e. They are back to how they were before your blepharitis?

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    Quote Originally Posted by Wondering View Post
    Sorry, Bella, a little clarification: do you mean that that your eyes are no redder than they ever were? i.e. They are back to how they were before your blepharitis?
    Oh no, unfortunately not. I wish they were back to what they were before I developed ocular rosacea symptoms. My eyes are more red now (both the inside rim area of the eyelids AND sclera - whites of the eyes, which now have permanent visible red veins) than they were a few years ago.

    But they have been worse in the past than they are now. I'm hopeful things will continue to get better over time.
    Types I, II, IV - mild to moderate, depending ...

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    Hi Wondering,
    I would stop doing hot compresses. Warm should be sufficient but give your eyes a little break from the compresses till they are less irritated. You might be sensitive to the ingredients in the commercial lid scrubs as Bellableu suggested so for now saline should be fine. Cleanse your lashes/lids very gently with saline before bed and upon awakening.

    I would stop the hot water trickling over your face in the shower because the heat can be irritating your eyes. When your eyes are less irritated (ie like they were before you started the hot compresses) you can try warm compresses again for a few minutes a day. Or the rice baggies but just make sure the temp is not too warm.

    Lid massages are good but again apply the pressure very gently and stop if your eyes become more irritated.

    Make sure you check out the OR sticky as it contains a lot of useful info in much greater detail.

    Good luck!

    Melissa

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    Default hot compresses

    Hi. I just saw a new opthalmalogist for my ocular rosacea yesterday. He specializes in dry eye and was listed on his website as having an interest in ocular rosacea. He, contrary to my last eye doctor, told me NOT to do hot compresses. After looking at my eyes, he said that although the hot compresses help unclog oil, because my blood vessels are so inflammed, the hot compresses will aggravate the inflammation more in my case. Basically, he said that the clogged oil was the least of the problems compared with the inflammation. Perhaps this is the case with you too?

    The new eye doc started me on Restasis and told me to do cold packs on the eyes at night.

    Good luck. I hope you find what works for you.
    Alyssa

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    Quote Originally Posted by alyfpet View Post
    Hi. I just saw a new opthalmalogist for my ocular rosacea yesterday. He specializes in dry eye and was listed on his website as having an interest in ocular rosacea. He, contrary to my last eye doctor, told me NOT to do hot compresses. After looking at my eyes, he said that although the hot compresses help unclog oil, because my blood vessels are so inflammed, the hot compresses will aggravate the inflammation more in my case. Basically, he said that the clogged oil was the least of the problems compared with the inflammation. Perhaps this is the case with you too?

    The new eye doc started me on Restasis and told me to do cold packs on the eyes at night.

    Good luck. I hope you find what works for you.
    Alyssa
    Let me throw in here that cool & cold compresses also bring me a lot of relief. I do warm for the MGD, and cool/cold for relief.
    Types I, II, IV - mild to moderate, depending ...

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