What is the role of lid hygiene in ocular rosacea treatment?

Updated: Mar 03, 2020
  • Author: Jitander Dudee, MD, MA(Cantab), FACS, FRCOphth; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Answer

Hot compresses applied to the eyelid margins can help to liquefy the thick meibomian gland secretions and, thus, facilitate their expression. Mild, nonirritating cleaning solutions, such as dilute baby shampoo or commercially prepared eyelid scrubs, can also be applied to the eyelids to remove clogging debris. Additionally, light pressure applied to the eyelids can aid in gland expression. Thermal pulsation to the eyelid (Lipiflow, Intense Pulse Light) is a technique used in the treatment of blepharitis. BlephEx is another emerging technique for the treatment of blepharitis. Some studies have shown improvements in Demodex colony counts and inflammation with the use of 50% tea tree oil scrubs. [21]


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