Meibomianitis

• Causes, incidence, and risk factors

  Any condition that increases the thickness of the oily secretions of the meibomian glands will allow excess oils to accumulate on the edges of the lids. This allows bacteria, which are normally present on the skin, to grow.

  Excess and thickened oily secretions can be caused by allergy, adolescence, or general skin conditions such as rosacea. Meibomianitis is often associated with blepharitis, which can cause an accumulation of dandruff-like substance on the eyelids.

• Symptoms
  • Swelling of eyelid margins
  • Slight blurring of vision due to excess oil in tears -- cleared by blinking
  • Frequent styes
• Signs and tests

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

• Treatment

  Careful cleansing of the edges of the lids will usually minimize symptoms. Your health care provider may prescribe an antibiotic ointment to be applied to the lid edge.

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

• Expectations (prognosis)

  Meibomianitis is not a vision-threatening condition. Most patients do well with treatment.

• Calling your health care provider

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

• Prevention

  Attention to lid hygiene will help prevent meibomianitis. Certain foods such as chocolate may aggravate the condition. Treatment of associated general skin conditions will help prevent meibomianitis.

Review Date: 8/22/2008

Reviewed By: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.