Tracy Schroeder Swartz, OD, FAAO
Optometry Times Editorial Advisory Board member
1. Incorporate lid scrubs. I start with over-the-counter (OTC) products first. If patients have a lot of discharge, I move to non-OTC preparations if blepharitis fails to improve in three weeks.
2. Do not use Johnson & Johnson baby shampoo.
3. I recommend hot compresses x 7 minutes to heat up the back of the eyelid. More is required for MGD, but this works to easily remove debris stuck on the lid.
4. For elderly patients, I often use erythromycin to lids nightly because it is easy for them to apply.