Scott G. Hauswirth, OD, FAAO
Optometry Times Editorial Advisory Board member
1. Understand that blepharitis at any level still likely feeds into the inflammatory dry eye loop; our immune systems are designed to kill things, and unfortunately they can harm good tissues in the process. This makes it important to treat and manage along with any subsequent surface disease.
2. Lid hygiene should be taught to patients at an early age and performed regularly for virtually all patients.
3. Detergent-based cleansers should be avoided because they are hard on the lid margin and cause drying in a sensitive region—the juxtaposition of the keratinized epithelium and the mucous membrane surface of the palpebral conjunctiva.