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Blepharitis is a very common problem causing gritty burning eyes and itching of the eyelash margins. The eyelids can be stuck together in the morning. Blepharitis is essentially dandruff in the eyelashes which can wax and wane with time.

When systematic, the patient must scrub the eyelid margins, where the lashes enter the lid with baby shampoo and water (50/50) or a product called “Lid Care” which can be bought over the counter at pharmacies. This should be done nightly before going to bed. Artificial tears can be used during the day. Adjuncts to the treatment include; scrubbing the lid margins with erythromycin ointment after the lid care has been applied; and an oral course of doxycycline antibiotic. Warm compresses applied directly to the eyelid margin also help loosen the debris on the lashes.