Eyelid Disorders

Dermatochalasis

Droopy Eyelids

This is the medical term for baggy eye lids. It occurs most frequently in patients older than 50. Soft tissues around the eyes are very loose and movable, this area is the most likely of all in the body for early wrinkles and droops. Sometimes the skin of the eyelid actually lies on top of the lashes, so some patients are able to keep their eyes open only by keeping the brow elevated with the muscles of the forehead and scalp. This may cause headaches and excessive fatigue, especially with reading. The upper portion of vision may also be cut off by this excessive tissue. The only effective treatment is surgery.

Blepharitis

Blepharitis is a chronic inflammation of the eye lids and is one of the most common problems we see in the office. Basically, there are 2 causes:

Ocusoft products

  • Staphylococcus (Staph). This is a bacterial infection of the lids that produces scales, matter, and chronic redness of the lid margin.
    Treatment is directed at keeping the lids immaculately clean by scrubbing with Q-tips and a mild baby shampoo. Also effective are OCuSoft Lid Scrub eye lid cleansers.
  • Seborrhea produces greasy, waxy scales along the lid margins. The glands of the lid produce abnormal quantities and qualities of tear film….Seborrhea of the lids may be just part of the overall skin disease that affects the areas of the chest, back, scalp, and behind the ears.
  • Skin mites known as Demodex can also colonize the eyelash follicle causing chronic irritation and discharge. This finding can be diagnosed during the ocular exam and treated with special lotions.

These conditions can almost always be controlled with vigorous treatments and good patient cooperation.

Sty

Sty is the common term for an acute infection of the hair follicle or glands at the edge of the eye lid. The correct medical term is Hordeolum.

Styes are usually caused by the Staph bacteria and are very common among children, patients with chronic lid infections, and diabetics.

Treatment consists of frequent hot compresses, and ophthalmic antibiotic ointments. If the tissues surrounding the sty are swollen and seem infected as well, oral antibiotics may be helpful in clearing up the condition more rapidly.