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Nottingham Park Clinic

36 Regent Street,

Nottingham NG1 5BT

Blepharitis & Microblepharo Treatment for Dry Eyes (MBE)

An MBE is performed using an instrument called Blephex, a hand held device with a high speed/high torque rotating sponge. The spinning sponge tip is first soaked in a special lid cleaning solution and then used to mechanically clean the lid margins.

The Blephex is a revolutionary treatment for removing crusts and cylindrical dandruff from the eyelids as well as clearing out the old meibomian oil from the meibomian glands.

Blepharitis is a chronic inflammatory disease of the eyelids caused by an overgrowth of normal bacteria living along the lid and base of the eyelashes. It is a common condition that can affect one in three people in the UK. Anyone can get blepharitis but the prevalence increases with age as we make fewer natural antibodies in our tears.

Common symptoms of Blepharitis:

Itchy or scratchy eyes, foreign body sensation, tearing, crusting, redness/inflammation, dry eyes and eye rubbing.

A Blephex treatment breaks the problematic vicious cycle of blepharitis by completely removing the inflammatory extoxin-laden biofilm on the lid margins. Blepharitis means lid inflammation, not always crusting, dandruff and scurf on the lashes. Therefore, significant inflammatory blepharitis may be present without the presence of debris along the lash line. The invisible bio-film layer on the lid margin is where the bacteria and exotoxins lie and cause the primary problem of inflammation: sore, red, itchy and uncomfortable eye-lids.

By thoroughly cleaning this area and eliminating the inflammatory aetiology of blepharitis, the overall health of the eyelid is improved. Patients should then begin to produce more of their own better quality tears. Chronic and irritating symptoms associated with dry eye disease and blepharitis should disappear.

A Blephex treatment at Park Vision lasts about 45 minutes. Your dry eye will be assessed first and then the whole eye area will be treated with moist heat, the Blephex procedure, followed by drops and dry heat. A post Blephex slit-lamp examination will assess how successful the treatment has been. Every patient will leave with a lid-hygiene regime to adhere to and a follow-up appointment will be made to monitor progress

Dry Eye Disease (DED)

Dry Eye Disease is a common condition affecting people of all ages. It occurs when there is an insufficient volume and/or quality of tears to keep the surface of the eye sufficiently lubricated. The common symptoms of dry eye are itchiness, redness and irritation. It is a chronic and progressive disease meaning proper diagnosis and management is necessary to address it.

Dry Eye Disease can be caused by many factors including:

> Contact lens wear

> Anti-histamine and some other medications

> Environmental conditions such as air conditioning in cars, offices and airplanes

> Increased tablet, phone or PC use

> Age related dry eye

> Poor diet and dehydration


Meibomian Gland Dysfunction (MGD)

Meibomian Gland Dysfunction (MGD) is thought to be the leading cause of Dry Eye Disease. It is a chronic disease and it is usually caused by obstruction of the secretory meibomian glands. The subsequent reduction of gland secretion results in a decreased amount of lipids in the tear film. This results in faster evaporation of the tear film and thus an evaporative dry eye

You can book in for a Dry Eye Assessment at Park Vision where your symptoms can be assessed and treated.