Warm compresses, lid hygiene (with Blephadex wipes which are saturated with a combination of tea tree oil and coconut oil), massage, and topical and/or systemic medication may help reduce blepharitis, meibomitis, and chalazia.
Supplementation with omega-3 fatty acids (EPA, DHA, and ALA) in fish oil (EPA and DHA) and flaxseed oil (ALA), and systemic doxycycline or azithromycin may be beneficial because they all soften oil in meibomian glands and improve secretion.
Artificial tears can help alleviate symptoms of dry eyes caused by meibomitis and blepharitis by replacing tears that have evaporated due to low lipid content. Punctal plug insertion, or in severe cases, punctal cautery can also be considered to reduce tear drainage and keep your own natural tears on the surface of your eye.
Demodex infestation may need to be treated over a couple of cycles (especially for demodex brevis) with diluted tea tree oil, the antibiotic ivermectin, or Blephadex lid wipes or foam. The incidence of demodex blepharitis may be decreased by removing make up before sleeping and by avoiding sleeping with pets.
BlephEx®- BlephEx® is a painless procedure that removes scurf and collarettes, particulate matter (similar to dandruff) along the edge of your eyelids and eyelashes, using a rotating soft medical-grade microsponge.
Lipiflow and iLux are automated thermal pulsation treatments that address meibomian gland dysfunction with heat and massage.
Intense Pulsed Light with manual meibomian gland expression-IPL pulses liquify and improve the flow of meibomian gland oil to improve gland function and dry eyes. The treatment reduces inflammation and vascularization of the eyelids, brown/age spots, and rosacea.
IPL offers a non-surgical in-office treatment option for chalazia. It is especially effective on acute, inflamed lesions but successfully treats chronic chalazia as well.
If the chalazion (ia) is not responsive to conservative treatment, surgical excision may be considered. The procedure can be performed in the office with local anesthetic or under sedation at an ambulatory surgery center.
Most incisions are made on the underside of the eyelid. The inflamed tissue is removed with a sterile surgical instrument.
In cases with a skin incision, dissolvable sutures and/or tissue glue may be used. An antibiotic ointment will be applied to the eye or eyelid skin if it does not have tissue glue for a week after the procedure.