H01.01

Clinical Causes: Bacterial infections, commonly caused by bacteria such as Staphylococcus aureus Poor eyelid hygiene allowing bacteria and debris to accumulate Oily skin conditions like seborrheic dermatitis Demodex mite infestation, particularly with Demodex folliculorum Chronic skin conditions affecting the eyelids Allergic reactions to makeup, cosmetics, or environmental allergens Use of contaminated eye makeup or contact lenses

Key Symptoms: Redness and swelling of the eyelid margins Ulcers or erosions along the eyelid margins Crusting or scabbing around the eyelashes, especially upon waking Itching and irritation of the eyelids Gritty or burning sensation in the eyes Sensitivity to light Eyeware that feels sticky or greasy Loss of eyelashes or abnormal eyelash growth in severe cases

Diagnosis Path: Diagnosis typically involves a clinical eye examination where a healthcare provider inspects the eyelids and eyelashes. They may look for characteristic ulcers, crusting, or signs of infection. In some instances, laboratory tests such as eyelash or eyelid margin swabs may be taken to identify bacterial or mite presence. Ophthalmologists might also use slit-lamp microscopy to gain a detailed view of the eyelid margins and ocular surface. The healthcare provider will review the patient’s medical history, hygiene habits, and any contributing skin conditions to confirm the diagnosis.

Treatment Protocols: Treatment usually focuses on reducing inflammation, controlling bacterial infection, and maintaining good eyelid hygiene. Common approaches include: - Regular eyelid cleaning with warm compresses and gentle scrubbing to remove crusts and debris - Use of topical antibiotics or antibacterial ointments to treat bacterial involvement - Application of eyelid hygiene solutions or medicated wipes - Addressing underlying skin conditions like seborrheic dermatitis with appropriate dermatological treatment - Managing Demodex mites with medicated eyelid creams or washes - Avoiding potential irritants such as makeup or harsh skincare products - In some cases, oral antibiotics may be prescribed for persistent or severe infections Follow-up visits are often necessary to monitor progress and adjust treatments accordingly. Maintaining strict hygiene and avoiding eye rubbing are essential parts of managing ulcerative blepharitis to prevent recurrence or complications.