Optician India

Welcome to question of the day #37

Why do some patients complain of a tender eye lid (that looks ‘white and quiet’ on examination)?

This is often reported by patients with one or more of the following:

Prior history of chalazia, hordeolae, or ‘styes’

Acne rosacea

Ocular rosacea

Acne vulgaris

Meibomianitis, often with generally ‘oily skin’.

Commonly the cause is an early or non-organized chalazion.

Management

Hot packs 4-5x daily for two weeks

Meibomian gland expression in the practice and/or, at home

Lid scrubs.

If these are unsuccessful then referral to a medical practitioner asoral tetracyclines or steroid injections(into the lid) are clinically warranted.