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La blefaritis suele ser una patología crónica que hace que los párpados se inflamen, lo que causa hinchazón, enrojecimiento, lagrimeo, picazón, irritación y otros efectos secundarios que generan molestias. El tratamiento de la blefaritis es a largo plazo y su objetivo es mantener los párpados y las pestañas limpios y libres de residuos que puedan causar inflamación.

Causas de la blefaritis

Existen dos tipos de blefaritis, anterior y posterior, y cada uno tiene causas y planes de tratamiento independientes. La blefaritis anterior ocasiona síntomas como enrojecimiento e hinchazón de la parte exterior del párpado y es consecuencia de las bacterias o la caspa que quedan atrapadas en las pestañas. La blefaritis posterior afecta a la parte interior del párpado que está en contacto con el globo ocular. Al igual que en el caso de la blefaritis anterior, uno de los motivos de esta patología puede ser la caspa del cuero cabelludo que queda atrapada en las pestañas. Otra causa puede ser el trastorno cutáneo de acné rosácea, que genera inflamación e irritación. Una vez que lo médicos determinan los factores involucrados, pueden desarrollar el tratamiento de la blefaritis más adecuado.

Síntomas de la blefaritis

Si bien las causas de la blefaritis anterior y posterior pueden ser diferentes, los síntomas que producen suelen ser bastante similares. Independientemente de la patología que sufra el paciente, es probable que experimente hinchazón, irritación, enrojecimiento, lágrimas, sensibilidad a la luz, visión borrosa, ojo seco , sensación de tener arena debajo de los párpados, o costras en las pestañas (especialmente al despertarse). Ciertas complicaciones provocadas por la blefaritis también pueden ayudar a diagnosticar la patología. Entre ellas se incluyen: orzuelos y bultos rojos suaves que aparecen en los párpados como resultado de una infección de las glándulas sebáceas. El chalazión, un trastorno caracterizado por la aparición de uno o más bultos duros en los párpados, también puede ser un indicio de blefaritis. Toda persona que presente estos síntomas o complicaciones debería consultar a un oftalmólogo para determinar el tratamiento de la blefaritis que mejor se adapte a sus necesidades.

Diagnóstico de la blefaritis

Para diagnosticar la blefaritis, los médicos examinan los párpados en busca de síntomas como: enrojecimiento, irritación y costras en las pestañas. También descartan otras causas posibles, determinan si los pacientes sufren de blefaritis anterior o posterior y diseñan un plan de tratamiento para minimizar los efectos de la patología. En la mayoría de los casos, las señales son lo suficientemente evidentes como para posibilitar el diagnóstico durante un examen ocular de rutina. En el caso de los pacientes que se someten a exámenes oculares periódicos, es muy poco probable que la blefaritis pase desapercibida, incluso si los pacientes no se percatan de los síntomas por su cuenta.

Tratamiento de la blefaritis

Si bien el tratamiento de la blefaritis es seguro y efectivo, es posible que demore cierto tiempo. Como la patología habitualmente vuelve a manifestarse durante el transcurso de la vida, el tratamiento se constituye en un control continuo del trastorno. Primero, se aplica una compresa tibia (por ejemplo, una toalla embebida en agua tibia) sobre los párpados. Así se ayuda a aflojar la costra acumulada alrededor de los ojos. Luego, se elimina todo material extraño de los ojos con agua tibia, agua con sal, o con una combinación de agua tibia y champú para bebés, según el trastorno del paciente. En algunos casos, es posible que los médicos recomienden una solución de venta libre para limpiar los ojos. Al comienzo del tratamiento, los pacientes probablemente tendrán que repetir el proceso de limpieza varias veces al día; sin embargo, con el tiempo, la rutina de tratamiento debería realizarse una vez al día. En casos extremos, es posible que los médicos consideren la posibilidad de recetar gotas oculares antibióticas o con esteroides.

Programe un examen ocular para diagnosticar la blefaritis

Si tiene problemas en los párpados como, por ejemplo, hinchazón, enrojecimiento, irritación, sensación arenosa al parpadear o costras en las pestañas al levantarse, debería buscar a un oftalmólogo cualificado en su zona. Determinar el tratamiento de la blefaritis será relativamente sencillo; además, el tratamiento puede detener el progreso de la patología y evitar complicaciones potencialmente
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