Blepharitis is a common and recurrent inflammation of the eyelids. Moreover, it can begin in early childhood and continue throughout life as a chronic condition, or it can develop later in life. Furthermore, it frequently occurs in people who have oily skin, excessive dandruff, or dry eyes.

 

 

 Symptoms

 

·         Chronic peeling of eyelids.

·         Eyelid redness.

·         Swelling in the eyelid with burning, and chronic redness.

·         Irritation.

·         Blurred vision and sensitivity of light.

 

 

Treatment

Blepharitis treatment depends on the continuous cleanliness of the eyelids. The patient should use warm compresses regularly and clean the eyelids using a baby shampoo or eyelid swabs.

 

 

Lid hygiene

 

 Supplies needed to clean your eyelids:

·         Q-tips.

·         Baby shampoo.

·         Clean towel or paper tissue.

·         Cotton balls.

 

First method: It is difficult to do without help from another person or use of a mirror.

 

·         Wash your hands

·         Mix a drop of baby shampoo and a little warm water in a cup.

·         Wet a Q-tip with some of the shampoo and water solution and rub the eyelid margins with the Q-tip.  Avoid touching the eye.

·         Clean the top and bottom lid margins of each eye around the lashes where most of the secretions originate.

·         You do not have to rub the skin or under the lid; that could cause pain.

·         After that, use some clean warm water to rinse the shampoo (the solution) off your lids. Then dry your eyelids gently with a clean towel or paper tissue.

·         If you have trouble cleaning or rinsing the lid edges properly in front of a mirror, have someone else do it for you.

 

Second method: Easier to do alone

 

·         Wash your hands.

·         Mix a few drops of baby shampoo and a few drops of water in your palm to form a foamy solution.

·         Close your eyes wet your fingertips with the solution and massage the lid margins where the lashes come out. (This massage is more effective if you apply warm compresses for a few minutes first).

·         Rinse the solution off your lids with warm water and dry your lids gently.

You should clean your eyelids daily for one week then once a week unless advised by your ophthalmologist you should continue this method as mentioned previously.

 

Importance of continues lid hygiene

This treatment only controls your blepharitis, but does not cure it. If you stop cleaning your eyelids for one week, the chance will be greater for recurring blepharitis. Remember: medication helps the problem now, but cleaning the lids regularly prevents the disease from coming back. Over time, your hygiene keeps the eyelids and eyes healthy.

 


Corneal Transplantation

It is surgical procedure where an ophthalmologist, changes a cornea with a new one by donor and fix with tiny surgical stitches.


 Causes of corneal transplantation

·        Keratoconus, which is diseases, that increases gradually thinning of the cornea resulting blurry vision.

·        Hereditary corneal diseases.

·        Corneal infections that not responded to treatment.

·        Corneal ulcer.

·        Severe corneal injuries that caused corneal opacity.

·        Corneal burns.

·        Complications after eye surgeries like cataract or glaucoma.


 Corneal transplant Types:

Penetrating keratoplasty: in this procedure, the surgeon removes all the corneal layers, replaced with donor’s ones, and fixes it with sutures.

Lamellar keratoplasty: In this procedure, the surgeon replaces all the damaged corneal layers with healthy donor ones and fix by stitches.

Descemet’s Stripping Endothelial keratoplasty (DSAEK): in which the inner layer of cornea is removed, and replaced with tissue but attached to the cornea with gas or air instead of stitches.


Corneal Rejection

Corneal rejection been expected at any time and this requires emergency admission in hospital, so if you have any of the following signs you should seek medical assistance directly:

o   Decrease in visual acuity.

o   Redness.

o   Foreign body sensation.

o   Tearing

o   Photophobia.

o   Pain.

Early diagnosis helps much in the successful treatment of corneal rejection. Usually, the physician prescribes certain medications to help your body accept the corneal graft.