Blepharitis | Right Decisions

NICE Clinical Knowledge Summaries - Blepharitis

First Line: Self care measures: eyelid hygiene, warm compress, eyelid massage, avoid cosmetic products.

Second Line: Review diagnosis and consider topical antibiotic (anterior blepharitis) or oral antibiotic (posterior blepharitis/meibomian gland dysfunction/rosacea) if no response to eyelid care.

Drug details

First Line: Self care measures: eyelid hygiene, warm compress, eyelid massage, avoid cosmetic products.

Second Line

(Anterior blepharitis):

Chloramphenicol

1% Ointment BD

Rubbed into lid margin

2 weeks

(continue self-care)

Second line

(posterior blepharitis/meibomian gland dysfunction/rosacea):

Doxycycline

100mg OD for 4 weeks then 50mg OD for 8 weeks as maintenance