Treatment for Blepharitis/Meibomian Gland Dysfunction

Blepharitis, or meibomian gland dysfunction, may cause irritation of the ocular surface similar to dry eye. However, proper diagnosis is required because treatment of blepharitis is different. Blepharitis is inflammation of the lid margin. Common symptoms can include burning, itching, redness and tearing. Findings during our exam can include lid thickening, crusting, oily dandruff on the lashes, foamy tears, lash loss and redness of both the white part of the eye and the eyelid margin. Your eyelids can become red and swollen or feel like they are burning. Blepharitis is quite common among people with oily skin, dandruff or dry eye conditions. Additionally, you may have mucus buildup in the morning and puffy eyelids. Occasionally, clogged meibomian glands can lead to styes. Blepharitis is an ongoing (chronic) condition. You can keep its symptoms under control with the following ongoing treatments:

  • Warm compresses
  • Lid hygiene
  • Eyelid foam/wipes
  • Antibiotics – both topical & oral


Keratoconus is thought to be caused by a genetic abnormality of certain proteins in the cornea. As a result, the usually spherical cornea bulges into somewhat elongated or even conical shape. This abnormal shape of the cornea distorts vision. In mild forms of keratoconus, eyeglasses or soft contact lenses may provide excellent vision. But as the disease progresses and the cornea becomes increasingly more irregular in shape, glasses and soft contact lenses no longer provide adequate vision correction. Keratoconus often begins in one’s teens or early 20s. Treatments for progressive keratoconus include:

  • Rigid gas-permeable contact lenses
  • Piggyback contact lenses – rigid lens used along with a carrier soft lens
  • Hybrid contact lenses
  • Scleral & semi-scleral rigid lenses
  • Intacs – rigid plastic segments surgically inserted into the cornea to alter its shape
  • Corneal cross-linking (CXL) – a treatment that strengthens corneal tissue & reduces or even halts progression of keratoconus
  • Corneal transplant, usually full-thickness

It is important to diagnose keratoconus early since the disease usually progresses, and there is now an effective treatment to retard progression and reduce the likelihood of permanent visual loss. Your ophthalmologist at Eastside Eye Surgeons will discuss all your options with you.

Discover care for your eye condition  by calling 212-650-0400 or using our convenient Request an Appointment form. Patients come to us from Scarsdale, Chappaqua and Manhattan, New York, Newark, New Jersey, Greenwich, Connecticut and close-by locations.

Surgical Services

  • Cataract

    A cataract forms when the naturally clear lens of the eye becomes cloudy.

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  • Laser Vision Correction

    Did you know? You can have LASIK for nearsightedness, farsightedness,...

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  • Corneal Transplant

    The cornea is the transparent front wall of the eye. A variety of conditions...

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    DSAEK is short for Descemet's stripping automated endothelial keratoplasty...

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  • DMEK

    DMEK is short for Descemet's membrane endothelial keratoplasty. This procedure is...

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  • Collagen Cross-Linking

    When the cornea becomes weakened by keratoconus, another corneal disease or...

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  • Pterygium

    A pterygium is a wing-shaped growth on the eye’s conjunctiva that extends...

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  • Ocular Surface Reconstruction

    Unlike your body’s surface skin coverage, the ocular surface of your eyes is...

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Medical Services

  • Dry Eyes

    Dry eye is a catch-all term referring to ocular surface disease. With ocular...

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  • Blepharitis

    Blepharitis, or meibomian gland dysfunction, may cause irritation of...

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  • Diabetic Eyes

    Diabetic eye disease is actually a group of conditions that affect people...

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  • Macular Degeneration

    Macular degeneration, also called age-related macular degeneration (ARMD)...

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  • Diagnostic Tools

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  • Vision Disorders

    From amblyopia (lazy eye) to uveitis (inflammation of the middle eye), there...

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  • Eye Exams

    Drs. Sid Mandelbaum perform comprehensive eye examinations.

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Sid Mandelbaum, MD, FACS

Dr. Sid Mandelbaum has been in practice in New York since 1986. After completing his undergraduate work at Columbia University, he went on to receive his medical degree...

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Michael Borodkin, MD

Dr. Michael J. Borodkin is a summa cum laude and Phi Beta Kappa graduate of the University of Pennsylvania. He received his medical degree from Yale University School of Medicine...

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Alexandra Herzlich, MD

Dr. Herzlich specializes in medical and surgical treatment of corneal diseases and laser refractive surgery. A New York City native, Dr. Herzlich attended Georgetown University...

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