Causes and risk factors
Meibomianitis occurs when the oil gland in upper and lower eyelid gets blocked and is unable to secrete oil. It gets infected with the bacteria. Conditions that can cause blocking of the meibomian glands are allergies, acne, or rosacea, hormonal changes in adolescence age, contact lens solution, eye makeup, etc.
Clinical presentation
Patient presents with burning of the eyelids. Increased sensitivity to the light is experienced. Patient complains of blurred vision. There is swelling, crusting of the eyelids; watering, itching in the eyes. Excessive blinking is seen. Loss of eyelashes can occur.
Investigations
Medical history by the patient and clinical examination by the ophthalmologist helps in diagnosis. Routine eye checkup reveals the condition.
Treatment
Treatment involves antibiotics to clear the infection, corticosteroid medication to reduce the inflammation. Artificial tears to manage dry eyes are prescribed. The doctor may also perform meibomian gland expression procedure to unblock the gland. Compression of gland is done by applying downward pressure with thumb and index finger and rocking the finger over for 30 seconds to one minute. Hot compresses and cleaning of the eyelids with warm water to remove crust. Avoiding wearing lenses till the infection is cleared, avoiding using any kind of eye makeup, and avoiding scratching the eyelids will contribute further to the treatment.
Other Modes of treatment
Consumption of flax seeds and omega 3 rich oil are helpful in combating the disorder.
Complications
Complications such as chalazion may occur.
When to Contact a Doctor
One must consult a doctor if symptom such as burning, swelling in eyelids with increased light sensitivity, or blurred vision is experienced by the patient.
Prevention
Taking effective treatment for acne rosacea and allergies can help prevent meibomianitis in some cases.
Systems involved
CNS, endocrine system
Organs involved
Eye, sweat gland
