Crusty or Granulated Eyelids

Baltimore Washington Eye Center, Maryland

Thursday, August 30, 2012

Crusty or Granulated Eyelids

Baltimore Ophthalmologist Arturo Betancourt, M.D. shared information about crusty or granulated eyelids. “Many patients complain of waking up with granulated or crusty eyelids. They describe a gravel or sandy foreign body sensation on awakening,” remarked Dr. Betancourt. “When they look in the mirror, they might notice a reddened eyelid margin and whitish or granular material on their eyelid margin,” he said. “The eyes feel dry, irritated and the conjunctiva might be injected. Through the day they might have irritation, pain, blurred vision, and a mucous like secretion, which accumulates and dries, causing further irritation,” he further explained.

These are all symptoms of meibomian gland dysfunction. The meibomian glands located in the lid are responsible for the oily component of the tear film. This component helps stabilize the tear film and also decreases evaporation. These glands are affected as with age and with hormonal changes. The changes in the quality of these glands can cause changes in the quality of the tear film. These changes would cause dry eye symptoms. They could cause the gland to clog, causing an infection, an acute stye, a cyst, or a chalazion.

Treatment of this condition can vary from lid hygiene, topical medication or oral supplements, or a combination of the above. The goal is to return these oils to normal. Lid hygiene with warm compresses liquefies the oils and decreases the secretions. Topical antibiotic and anti inflammatory drops or ointments, help decrease bacterial load and the secondary gland swelling. Oral supplements will help, by replenishing.

Meibomian gland dysfunction is a chronic condition, commonly associated with tear dysfunction. The treatment goal is to find a combination of modalities that the patient can utilize to manage his condition.

Guest Blogger: Arturo E Betancourt M.D., F.A.C.S., Ophthalmologist, Medical Director- Baltimore Washington Eye Center

If you or someone you know crusty or granulated eyelids they are encouraged to schedule an eye examination at Baltimore Washington Eye Center by calling 800-495-3937, visiting Baltimore Washington Eye Center or, so that we can help identify the possible causes and recommend an appropriate treatment plan.
Baltimore Washington Eye Center is a leading eye care practice serving the greater Baltimore and Washington, D.C. area staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, diagnosis and treatment of cataracts including cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease, care for diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services. Baltimore Washington Eye Center is conveniently located for patients from Arbutus, Carney, Clarksville, Columbia, Dundalk, Edgemere, Essex, Ellicott City, Ferndale, Glen Burnie, Kenwood, Laurel, Linthicum, Lutherville, Millersville, Odenton Owings Mills, Reisterstown, Towson, Parkville, Randallstown, Rivera Beach, Pasadena, Severna Park, South Gate and Woodlawn Maryland.