I've been dealing with blepharitis since February / March this year, and I feel like I might have finally made a breakthrough! I started doing different things with my treatment 5 days ago and my eyes haven't felt this 'normal' since the bleparitis started.
What I've been doing is making sure I clean the entire eyelid area, as opposed to just around the lid margins. The thought of doing this came to me when thinking about the processes involved. Dead skin is eaten by bacteria, bacteria thrive, excess bacteria on lids cause inflammation of lids, inflammation of lids causes problems with the MG glands, dry eyes result. Another thing I thought about is an observation my GP made a few months ago about me having deep set eyes (so much so that you can't really see my upper eyelids when my eyes are open). Then I found out that when I close my eyes normally, there are still folds in the upper eyelid skin. To stretch out the eyelid skin completely, I have to close my eyes then either raise the muscles around my eyebrows (quite difficult), or stretch the skin out using my hands (basically pushing up on the skin around the eyebrows). Anyway, the point of this is that the folds of my eyelids are probably an ideal place for bacteria, as they get so little exposure to the outside.
My previous routine that I've been doing for the past few months:
- Have a shower in the morning. Wash my hair every day, cycling through different anti-dandruff shampoos each day (Head and Shoulders, Nizoral, Selsun). I also use the shampoo on my eyebrows. After a few minutes, I let the foam from the shampoo run over my closed eyes.
- After the shower, a warm compress over my eyes for 5 minutes.
- Clean the eyelid margins using Blephasol lotion on the end of cotton buds (using a few cotton buds)
- Just before bed, I do another warm compress then more lid margin cleaning.
Changes I made 5 days ago:
- When letting the shampoo foam run over my closed eyes, I make sure that the skin of my upper eyelids is completely stretched out (using one of the two techniques above)
- When using the Blephasol lotion, I now clean the entire eyelid area - from below the lower lid margins, either side of the eyes, up to around my eyebrows. I make sure I clean around the folds of my upper eyelids in particular. I make sure that I'm as gentle as possible with the cleaning.
I know I'm not completely better yet but I feel like I might be on the way there now (there was an improvement on the first day that I added these changes to my routine). Just inside my eyelid margins, there is still alot of redness and the bases of my upper eyelashes are white (it's been like that for months, despite my best efforts at cleaning).
For info, I have been taking flaxseed oil twice a day for several months now. I try to eat healthily and get plenty of sleep. I have been taking eye health supplements (Visionace) for a few months, but I'm starting to think that this might be the wrong tack - it's changes to my skin health that have made me feel better the past 5 days. Anything else to improve my skin health might make me feel even better (such as dietary changes). I have ordered castor oil from the internet as it helps some people with blepharitis - I haven't plucked up the courage to use it yet.
The only other change I've made recently is drinking one or two cups of green tea a day (I've been doing this for a few weeks now). Don't know if this has also helped.
Hope this is useful to someone