Blepharitis

In both blepharitis squamosa and ulcerosa removal of the crusts and defattening of the lidmargin, by rubbing with light petroleum and carbon tetrachloride solution, is the first step in treatment. Concomitant staphylococcal infection should be treated with antibiotherapy. Empirically this can be best done with oxytetracycline as in Terracortril^® suspension. Probably the reason oxytetracyclines work best, is that they also reduce the secretion of meibomian glands. The steroid treatment is necessary to reduce tylosis of the lidmargins. In blepharitis squamosa maintenance therapy consists of application of antiseborrhoic agents in a non-irritating base.