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    The role of lid hygiene in ocular surface disease

    Lessen the bacterial load on the lid margin and eyelashes with good practices

     

    Finally, remember that cosmetics have been documented to negatively impact the ocular adnexa, ocular surface, lacrimal system, and tear film.11

    I recommend, and most patients prefer, commercially prepared lid hygiene products. Most of these are available as foaming cleansers or pre-moistened wipes, such as Ocusoft Lid Scrub Plus foam or Lid Scrub pads.

    Additionally, in-office removal of eyelid/lash debris and de-bulking microbial load and biofilms can be achieved with Rysurg’s instrument BlephEx, which mechanically debrides treated surfaces.

    Related: Riding out conjunctivitis like a bad storm

    There is much to learn about biofilm ecology and how it relates to bacterial virulence. In the meantime, it would seem prudent to clear away bacteria of concern before pathology sets in.

    The benefits of eyelid hygiene/managing blepharitis are likely multifold. Reducing debris, allergens, and bacterial colonization on the eyelids reduces the risk for conjunctivitis and is thought to lower the chance of endophthalmitis after cataract surgery12 or from filtering blebs13 and can offer symptomatic relief of the deleterious effects of ocular surface disease and meibomian gland dysfunction.5

    Indeed, it has been demonstrated that lid hygiene incorporated into therapeutic care for perennial conjunctivitis improves secondary dry eye symptoms and enhances the effectiveness of the treatment.14

    Related: How to manage adenoviral conjunctivitis

    Finally, remember that cosmetics have been documented to negatively impact the ocular adnexa, ocular surface, lacrimal system, and tear film.11

    Protect the ocular health of your patients . Remind them of the importance of lid hygiene to promote eye wellness.

    Katherine M. Mastrota, MS, OD, FAAO, Dipl ABO
    Director of Optometry, New York Hotel Trades Council, Hotel Association of New York City, Health Center, Inc.

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    Optometry Times A/V