Dry, Gritty Eyes do you have Blepharitis ?
Blepharitis, we can see you under our MECS scheme for this condition
Grittiness in your eyes is often related to blepharitis
Sore, itchy gritty eye lids (Blepharitis) and dry eye grittiness are frequently linked. The edges of your eye lids contain tear glands which contribute to the tear film on your eyes. If the tear film is poor your eyes will feel dry and or gritty. The crusty deposits on your lids can fall into your eyes, causing grittiness blurred vision and discomfort. These deposits are often caused by small mites – Demodex and / or bacterial infections, sometimes a combination of the two.
heat masks, (see further down), can be very helpful, but to do not help with blepharitis.
Inflamed or Crusty Eyes
Inflamed or crusty eye lids can be cleared up with good lid hygiene using a cotton bud and some warm water. Baby shampoo is sometimes suggested, however this removes the oily layer of your tear film too and thus contributes to dryer eyes and blurry vision again.
A solution of 2.5% Tea Tree oil will kill the mites that frequently live in both the roots of eyelashes and inside the oil secreting meibomian glands of your eyelids. Please don’t make this solution up yourself as Tea Tree oil is very irritant to the cornea of your eye, use Oust Demodex cleanser, available at out practices and on line.
I occasionally have to remove the initial deposits for clients with a soft cotton bud whilst shielding the eye with a soft disposable contact lens using eye numbing drops. Occasionally topical antibiotics in the form of an ointment are used for bacterial infected eyelid margins. The use of BlephEx is not recommended by us, it is basically a small power tool to remove the deposits, the power tool does not remove the cause. Make sure your eye lid problem is properly diagnosed, this is covered under MECS and paid for by the NHS
The Dry Eye Show with Drs. Jenna & Travis Zigler
Dr. Travis Zigler discusses how to get rid of demodex mites, how to prevent eyelash mites, what demodex are, and symptoms of demodex
This skin condition is frequently linked with Demodex, and we have had excellent results using Tea Tree oil in reducing the symptoms of rosacea on the face.
Some patients suffer from Sjogren’s syndrome, in this case there is not enough fluid on the eye and copious amounts of extra fluid is needed to prevent blurry vision and grittiness in the eyes. This is a rare condition.
Most patients with dry gritty eyes have deposits on the edge of the eye lids and possibly a reduced volume of tears as well. Using our eye microscope we can diagnose crusty lids and or poor tear coverage.
If you are lacking in tear fluid only you can use tear supplements such as Gel tears or Hycosan Plus. A runny solution is used during the day and a gel tear is used overnight. The problem with all the tear supplements is that they run out of your eyes, so some patients choose to have plugs fitted.
For dry eyes, both lacking quality and quantity you can have plugs fitted which reduce or even block the flow of tears out of the eye, so the tears stay on the front of your eye and help with lubrication.
The fitting of these is not painful. Semi permanent plugs cost £7.50 each & last about three months.
Styes Hordeolums and Warm Eye masks
Your eye lids contain meibomian glands which contribute to the lubrication of your eyes. They may become blocked and infected over times, reducing the lubrication to your eyes. infected meibomian glands are the main cause of bumps on your eye lids which are calles styes or hordeolums.
heat masks do not help with blepharitis, see Demodex above
Why you may benefit from a heat mask
An educational video explaining the conditions/symptoms of MGD, Blepharitis and Dry Eye
Warm Eye masks & essential lid massage after warming
Your eye lids contain meibomian glands which contribute to the lubrication of your eyes. They may become blocked over time, reducing the lubrication to your eyes. You can purchase eye masks online.
Further down this page is a video showing how to massage your eyelids after you have used an eye warming mask. Once your lids are warm the solidified wax in the gland openings has become liquid.
You could also use a warming mask like this which will stay warmer for longer, it is available on line
After warming your eye lids you need to massage the edges of your eyelids to express the oily substance which is part of the tear lubrication. Without massage, after warming the lids, there is little benefit in using the warming mask, go to 4 mins into the video for direct viewing of the lid massage
How We Diagnose Dry Eye
We use light blue and green dye to diagnose Dry Eye
Crusty Lids Diagnose
Using our eye microscope we can diagnose crusty lids and or poor tear coverage
With punctal plugs, tears stay on the front of your eye and help with lubrication
When To See Simon Kleyn Optician - Optometrist
Make an appointment for an eye test / examination if you notice any changes in your vision. If you develop sudden vision changes, such as double vision or flashes of light, sudden eye pain, or sudden headache, call us straight away.
Speak To Simon Kleyn Today
Speak to Simon Kleyn Optician – Optometrist to find out how we can help you.
How To Treat Dry Eye
3 Ways to Cure Dry Eye Syndrome and symptoms of irritated, itchy, scratchy, sandpaper eyes