Blepharitis

Treat if eyelid hygiene alone not effective or signs of Staphlococcus aureus infection.

If patient cannot avoid wearing contact lenses then alternative treatments containing no preservatives should be used.

Consider ophthalmic lubricant if dry eyes.

If meibomian gland dysfunction or rosacea, consider tetracycline antibiotic at low dose for 6 – 12 weeks

Good lid hygiene PLUS

chloramphenicol 1% eye ointment

Four times daily

7 days (initially and consider up to 4-6 weeks)

OR fusidic acid 1% viscous eye drops

twice daily

7 days (initially and consider up to 4-6 weeks)