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Patient Information Accident and Emergency

Marginal keratitis
What is marginal keratitis? Lid hygiene to treat the blepharitis
Marginal keratitis is an inflammation of the which causes marginal keratitis, you need
cornea the clear window on the front of to undertake good lid hygiene. You
your eye and is usually due to a should do this once or twice a day even
condition called blepharitis (please see when you do not have any symptoms, to
the separate information leaflet on prevent marginal keratitis from recurring.
blepharitis). Less commonly, it is caused
by wearing contact lenses. Warm compresses Use water that
is hot, but not hot enough to burn.
Soak cotton wool or a clean flannel in
Your eyelids contain tiny glands that make
the water, wring out and gently press
oil which keeps your eyes moist. In
onto your closed eyelids for two to
blepharitis, these glands become blocked,
three minutes at a time. This melts the
which causes your eyelids to become
oily secretion blocking the openings of
irritated and your eyes sore. In some
the glands and softens any lash flakes.
cases, dandruff-like flakes build up at the
base of the eyelashes. Lid massage Massage your eyelids
by gently rolling your index finger over
them in a circular motion or running the
It is thought that, in some people, length of your finger up and down your
blepharitis is partly caused by sensitivity eyelids towards your eyelashes. This
to the bacteria (staphylococcus) which helps to push out the oil from the tiny
normally live on the skin. The surface of eyelid glands.
the eye can become inflamed. The eye Lid scrubs Use a moistened cotton
becomes red and sore and may develop bud to gently clean the inside edge of
small white ulcers around the edge of the your eyelids and more firmly scrub off
cornea. This is called marginal keratitis. any flakes on the lashes. This is best
What is the treatment? done in front of a mirror.

Moorfields Eye Hospital NHS Foundation Trust


City Road, London EC1V 2PD
Phone: 020 7253 3411
www.moorfields.nhs.uk
Antibiotics and steroid drops or for information and advice on eye
ointments conditions and treatments from
Antibiotics drops or ointment can be experienced ophthalmic-trained nurses.
useful along with steroid drops to calm
down any eye inflammation. Your eye Patient advice and liaison service
doctor will discuss with you whether this (PALS)
treatment is suitable for you.
Phone: 020 7566 2324 or 020 7566 2325
When to seek advice Email: pals@moorfields.nhs.uk
If your eye becomes increasingly red or Moorfields PALS team provides
painful, your sight becomes more blurred confidential advice and support to help
or you see white patches getting bigger on you sort out any concerns you may have
the cornea, you should telephone about the care we provide, guiding you
Moorfields Eye Hospital Direct for advice through the different services available at
on 020 7566 2345 or attend your local Moorfields. The PALS team can also
A&E department or the Moorfields 24/7 advise you on how to make a complaint.
A&E department which is open for
emergency eye problems only for a Your right to treatment within 18 weeks
further examination. Under the NHS constitution, all patients
have the right to start their consultant-led
Author: Miss Melanie Hingorani, Dr Swan Kang and Linda
Langton
treatment within 18 weeks of being
Revision number: 2 referred by their GP. Moorfields is
Approved: July 2014 committed to fulfilling this right, but if you
Review date: July 2015
feel that we have failed to do so, please
contact our patient advice and liaison
Moorfields Eye Hospital NHS service (PALS) who will be able to advise
Foundation Trust you further see above for contact
City Road, London EC1V 2PD details. For more information about your
Phone: 020 7253 3411 rights under the NHS constitution, please
visit www.nhs.uk/choiceinthenhs.
www.moorfields.nhs.uk

Moorfields Direct Advice line


Phone: 020 7566 2345
Monday to Friday, 9am to 4.30pm,

Moorfields Eye Hospital NHS Foundation Trust


City Road, London EC1V 2PD
Phone: 020 7253 3411
www.moorfields.nhs.uk

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