Blepharitis is a very common condition - the main symptoms being sore, gritty feeling eyes and crusting and redness of the lid margins.

Skin conditions such as Dermatitis can play a part, as can bacterial infection.

Eyelid Massage and Hygiene with warm compresses or towelettes can remove irritating crusts from the lids and lashes and help unblock clogged glands. Artificial tears can provide symptomatic relief but in some cases antibiotics and corticosteroids may be required.

Dry Eye can cause similar symptoms, but in contrast to blepharitis, irritation tends to progress and worsen throughout the day, especially during and after reading or computer use.

Dry Eye can have many causes from simple decreased tear production (common in older people) Rheumatoid Arthritis, hormonal changes and thyroid disease to name a few.

The main treatment aim is to relieve discomfort:

• Artificial Tears in drops or gels for daytime, or ointments typically at night, can be used frequently as required.
• Improve room conditions by placing a container of water near to a radiator.
• Avoid irritating factors such as dry air, smoke and diuretics such as coffee.