How to prepare for a video visit about Blepharitis

Audience: adult

Blepharitis is a common condition that causes inflammation of the eyelids. It often leads to redness, itching, and crusting around the eyelashes. Preparing well for a video visit with your healthcare provider can help you get the most from your appointment. During the visit, your provider will ask about your symptoms, medical history, and any treatments you have tried. They may also guide you on how to care for your eyelids and suggest treatments to reduce inflammation and discomfort. While many aspects of blepharitis can be discussed and managed through telemedicine, some situations require in-person care. This guide will help you prepare for your video visit, understand what to expect, and know when to seek urgent help.

Red flags — go in person / ER

• Severe eye pain or discomfort – seek emergency care immediately.
• Sudden loss or change in vision – go to an eye clinic or emergency room.
• Redness and swelling spreading beyond the eyelid, possibly with fever – get urgent medical attention.

What telemedicine can do

• Discussing symptoms and medical history related to blepharitis.
• Visual inspection of eyelid inflammation via video.
• Providing education on eyelid hygiene and home care.
• Recommending over-the-counter treatments and prescribing medications when appropriate.
• Monitoring response to treatment and advising on follow-up.

What telemedicine cannot do

• Performing detailed eye examinations requiring specialized equipment.
• Diagnosing complications like abscesses or severe infections needing urgent care.
• Treating sudden vision loss or severe eye pain.
• Administering in-office procedures or tests.

What is Blepharitis?

Blepharitis is an inflammation of the eyelid edges. It often causes redness, swelling, itchiness, and flaking skin around the eyelashes. It can be caused by bacteria, skin conditions like dandruff, or blocked oil glands in the eyelids. Although it can be uncomfortable, blepharitis usually is not contagious and can be managed with good eyelid hygiene and treatment.

How to Prepare for Your Video Visit

Before your video visit, find a quiet, well-lit space where you can show your eyes clearly on camera. Have a clean mirror and a bright light ready to help you show your eyelids if asked. Write down your symptoms, including when they started, how they have changed, and any treatments you have tried. Also, note any other health conditions or medications you are taking. Having this information ready helps your provider understand your situation better.

What to Expect During the Video Visit

Your healthcare provider will ask about your symptoms and medical history. They may ask you to show your eyelids on camera to look for signs of inflammation or crusting. They will discuss ways to care for your eyelids, such as warm compresses and gentle cleaning. Your provider may suggest medications like antibiotic ointments or drops if needed. They will also advise on how to manage symptoms and prevent flare-ups.

When to Seek In-Person Care

Some symptoms require urgent in-person evaluation. If you experience severe eye pain, sudden vision changes, intense redness, swelling spreading beyond the eyelid, or discharge that is thick and yellow or green, seek emergency care. These signs may indicate a more serious infection or complication that needs immediate attention.

Tips for Managing Blepharitis at Home

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How to prepare for your tele-visit

• Choose a quiet, well-lit area with good internet connection for your video visit.
• Have a mirror and bright light ready to show your eyelids clearly on camera.
• Write down your symptoms, including onset, severity, and any changes.
• List any treatments or medications you have used for your eyes.
• Prepare questions you want to ask your healthcare provider.
• Have your medical history and current medications available to discuss.

After your tele-visit

• Follow the eyelid hygiene routine as advised by your provider.
• Use any prescribed medications exactly as directed.
• Monitor your symptoms and note any changes or side effects.
• Schedule a follow-up appointment if recommended.
• Seek immediate care if you notice red flags such as severe pain or vision changes.
• Maintain regular eyelid care to help prevent future flare-ups.

FAQs

What causes blepharitis?

Blepharitis is often caused by bacteria on the skin, blocked oil glands in the eyelids, or skin conditions like dandruff (seborrheic dermatitis). Sometimes, allergies or other eye conditions can contribute.

Can blepharitis be cured?

Blepharitis is usually a chronic condition that can be managed but not always completely cured. Regular eyelid care and treatment can control symptoms and reduce flare-ups.

Is blepharitis contagious?

No, blepharitis is generally not contagious. It is caused by factors affecting your own eyelids and skin.

How often should I clean my eyelids?

Your healthcare provider may recommend cleaning your eyelids once or twice daily during flare-ups, and less often once symptoms improve. Follow their specific instructions.

Can I wear contact lenses if I have blepharitis?

You may need to avoid contact lenses during flare-ups to reduce irritation. Discuss with your provider when it is safe to use them again.

Sources

1. Blepharitis — MedlinePlus, U.S. National Library of Medicine / National Institutes of Health.
2. Blepharitis: Overview — Mayo Clinic.
3. Blepharitis — Centers for Disease Control and Prevention (CDC).
4. Blepharitis: Clinical Review — National Library of Medicine, U.S. National Institutes of Health.

This information is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment. Telemedicine guidance can help manage many health concerns but is not a substitute for in-person care when urgent or specialized evaluation is needed. Always seek immediate medical attention if you experience severe symptoms or red flags described here.