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Meibomianitis

Meibomianitis is inflammation of the meibomian glands, a group of oil-releasing (sebaceous) glands in the eyelids. These glands have tiny openings to release oils onto the surface of the cornea.

Causes

Any condition that increases the oily secretions of the meibomian glands will allow excess oils to build up on the edges of the eyelids. This allows for the excess growth of bacteria that are normally present on the skin.

These problems can be caused by allergies, hormone changes during adolescence, or skin conditions such as rosacea and acne.

Meibomianitis is often associated with blepharitis, which can cause a buildup of a dandruff-like substance at the base of the eyelashes.

Symptoms

  • Swelling and redness of eyelid edges
  • Symptoms of dry eye
  • Slight blurring of vision due to excess oil in tears -- usually cleared by blinking
  • Frequent styes

Exams and Tests

Meibomianitis can be diagnosed by eye examination. Special tests are not required.

Treatment

Standard treatment involves:

  • Carefully cleansing the edges of the lids
  • Applying moist heat to the affected eye

These treatments will usually reduce symptoms.

Your health care provider may prescribe an antibiotic ointment to apply to the lid's edge.

Other treatments may include:

  • Having an eye doctor perform meibomian gland expression to help clear the glands of secretions
  • Inserting a small tube (cannula) into each gland opening to wash out thickened oil
  • Taking tetracycline antibiotics for several weeks
  • Using LipoFlow, a device that automatically warms the eyelid and helps clear the glands
  • Taking fish oil to improve the flow of oil from the glands

Any general skin condition such as acne or rosacea may also require treatment.

Outlook (Prognosis)

Meibomianitis is not a vision-threatening condition. However, it may be a chronic and recurring cause of eye irritation. Many people find the treatments frustrating because results are not often immediate. Treatment, however, will often help reduce symptoms.

When to Contact a Medical Professional

Call your health care provider if treatment does not lead to improvement or if styes develop.

Prevention

Keeping your eyelids clean and treating associated skin conditions will help prevent meibomianitis.

Alternative Names

Meibomian gland dysfunction

Images

References

Foster CS. The eye in skin and mucous membrane disorders. In: Tasman W, Jaeger EA, eds.Duane's Ophthalmology

Lane SS, DuBiner HB, Epstein RJ, et al. A new system, the LipiFlow, for the treatment of meibomian gland dysfunction.Cornea

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Update Date 9/2/2014

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