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T/Gel for Eyelid

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Q. I read your response to a reader with blepharitis who suggested T/Gel was helpful. You mentioned there is no study of this treatment.

While I can't offer any scientific study, I can offer another data point for the method. My physician diagnosed blepharitis and recommended applying T/Gel in the shower every night.

It has not only been 100 percent effective in treating the problem, but also efficient. I have used only 40 percent of the 4.4 oz bottle during four years of treatment.

A. Blepharitis is a medical term for inflammation of the eyelid. Symptoms may include itching, redness, flaking and crusting on the edge of the eyelid.

You are not the only one to find dandruff shampoo helpful. We recently heard from another reader: "Not only does Selsun Blue shampoo control my blepharitis, it's the only thing that works. I apply the foam to the eyelids for about 15 seconds each shower to knock out the itching and redness.

"I tried prescription medication from my doctor and it made my lids gooey and clouded my vision. I have to use the shampoo on a regular basis or the blepharitis comes back, but it does work."

Dandruff shampoos have antifungal activity, which may explain why they work. Be sure to keep all shampoo out of the eyes!

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Based on the letter about the eyelid scale, I decided to try T/Gel on the itchy scale that I've had in my ears for a couple of years. I put T/Gel with water in an eyedropper bottle and use it a couple of times a week when I'm showering. I don't rinse it out but just get it to drain out leaving a residue. It works. The scale returns if I go too long without applying the T/Gel.

Regarding the letter about the eyelid scale and the anti-dandruff shampoo, I figured if the dandruff shampoos worked, so might Listerine since it also helps with dandruff. I have a sample bottle from the dentist I keep next to my moisturizer and dab it on my eyelids during my bedtime routine. It cleared up the scale and, like the T-Gel users, returns if not maintained.

Many years ago my eye doctor told me to use Johnson's baby shampoo, and not any other brand, to make a lather and wash upper and lower lashes thoroughly every night. No more infection!! I can go a couple days without this procedure but it works best daily to keep the infection away. He said this is a life time condition and just keep scrubbing!

I have had blepharitis in one eye for a little over two years. I initially had an antibiotic ointment and then 2 different steroid drops that did not help. I washed with Johnson's Baby shampoo for over a year but that did not help either. I tried the T-gel shampoo and green tea bags to no avail. Please continue to share cures as I am willing to try them. And a great 'thank you' to Terry and Joe for sharing the information. I have had success with so many of the remedies.

I am so glad you are addressing the issue of Blepharitis in some of your recent columns and on your website. I have been plagued with this affliction for years, but recently it has become much worse. My symptoms are a bit different than those described by others... the rims of my eyes do become red and a bit itchy, but mostly my eyes tear a lot.

I have tried an oral dose of antibiotic which seemed to help, but the condition has returned. I would like to know if it is possible to determine the cause of the symptoms, whether it is due to a dermatitis-type condition or a staph infection or has some other cause and whether it is bacterial or fungal or something else?

I was going to try the TGel to treat my blepharitis; but the directions on the bottle said to avoid getting in the eyes!!! Explain this please...
thanks

PEOPLE'S PHARMACY RESPONSE: MOST SHAMPOO WILL STING IF IT GETS IN THE EYES, AND OF COURSE USING IT FOR BLEPHARITIS GREATLY INCREASES THE RISK THAT YOU WILL. A DIFFERENT SOLUTION FOR BLEPHARITIS WAS RECENTLY SUGGESTED TO US: MOISTEN A COTTON SWAB WITH MINERAL OIL (BABY OIL) AND RUN IT ALONG THE INSIDE OF THE LOWER LID EVERY DAY.

I have been seeing various ophthalmologists for at least 20 years for treatment of blepharitis. The treatment has always been lid scrubs, antibiotics, or steroid drops, none of which worked more than a short time, and some of which made my eyes worse. Because we must constantly be using our eyes, when your eyes are burning, stinging, itching, tearing, you feel bad and your energy is drained quickly. One day while visiting my dermatologist. I mentioned this problem to him. He recommended that I clean my eyes with CeraVe Hydrating Cleanser (no scrubbing!), and to also apply Mimyx cream to my lid margins 2-3 times a day, especially after washing my face.

The Mimyx has made a huge difference - the first real difference I have had in all these years. Mimyx is a prescription cream, so it cost me around $50 copay, but the big tube will probably last me the rest of my life, as so little is used per day.

Regarding blepharitis,What active ingredient in the various shampoos works best? I purchased Neutrogena T/Gel with 1% pyrithione zinc but so far not too effective. Thank you.

I had Blepharitis or inflammation of the eyelid about a month ago. My right eyelid was swollen and it felt like I had something inside my eye and the eye was watering constantly. My daughter (who is a physician) took a look at it and told me it was nothing serious, just an inflammation of the eyelid and she took a small towelette, soaked it in water, microwaved it for about 30 seconds, and told me to hold it on my eye for about 30 minutes and to repeat this couple more times. After I did it for the first time, my eye felt a lot better and after I did it for a couple more time, I had no pain in my eye and the next morning my eye felt quite normal. I'm writing to you in the hope the some of the people who follow you columns may find this useful.

I've been having dry/itchy left ear for over 6 mos. Saw a doctor and nothing worked. I used T Gel and Johnson and Johnson Baby Shampoo once a day and got no results from T Gel but baby shampoo worked almost instantly.

Am unable to find CAUSE of Blepharitis. Do not understand WHAT it is exactly, or why it is a LIFELONG affliction. When having eyes checked recently... ophthalmologist more interested in getting me scheduled for cataract surgery than answering my questions. None of the above were ever answered. Just that he would prescribe an antibiotic that I would probably be taking all my life.

Now, all of a sudden I have dandruff, roseacea AND blepharitis. I have NEVER suffered any of these ailments in my life. Never even a slight case of dandruff. Where does this stuff come from if it is not contagious? Is the body, the immune system out of whack?

I have read the T-gel and Listerine help, but I am worried about damaging my EYEBALL.

Is it truly safe to use these things w/out damage to the eye? The prospect of an antibiotic for the rest of my life does not sound wise. Other comments say it does not work anyway.

Is baby shampoo recommended ONLY because it doesn't sting? Or is it SAFER?
Why is it so difficult to find answers to the above questions -

HELP, PLEASE!
And thank you both for all you are doing for all of us.

Would be so grateful to have these questions answered....
Oral antibiotic seems very unwise to me.

Is there NOTHING to CURE this ailment? Seems impossible. Will T-gel, or other dandruff shampoos, listerine, tea tree oil, or vinegar DAMAGE the eye, or merely cause stinging?

Read that dandruff and blepharitis are fungi. Is this true?

Dr. assistant suggested it was caused by all the face products we use these days. True?

Other told me from not keeping face clean enough? Good wash am and pm ALWAYS..... NOT enough?
Thank you

PEOPLE'S PHARMACY RESPONSE: DANDRUFF AND SOME CASES OF EYELID INFLAMMATION (BLEPHARITIS) ARE CAUSED BY YEAST THAT LIVE ON THE SKIN. YEAST IS A TYPE OF FUNGUS.

IT IS UNLIKELY THAT SKIN CARE PRODUCTS CAUSE THIS PROBLEM, THOUGH SOME EYE MAKEUP MIGHT MAKE IT WORSE. CLEANING THE FACE TWICE A DAY SHOULD BE GOOD ENOUGH UNDER MOST CIRCUMSTANCES.

A COTTON SWAB MOISTENED WITH MINERAL OIL RUN ALONG THE EDGE OF THE EYELID DAILY MIGHT HELP, BUT ASK YOUR EYE DOCTOR FIRST.

It is now June. Is this stuff working? Is it worth the expense. Learned any more? Good luck, and thanks

I am the one successfully using TGel in my ears. I recently developed a scaly condition on my on the skin between my eyelids and eyebrows. The TGel did not help. Cortizone was only a temporary help.

I decided to consider allergy possibilities. The culprit was a fabric softener. The skin around my eyes is so much more sensitive that it showed up there. The contact was with my pillowcase and towels. So - don't rule out allergy.

As for getting the T/Gel or Listerine in your eyes, I have tried the Listerine and had no problems. I dip a Q-tip in Listerine, then dab on my eyelid. It stings a little but there's never so much on the Q-tip that it runs into my eyes.
Good luck.

First please: I have been trying to learn more about rosacea, blepharitis. In doing so, it has come to my attention that a 'mite' that lives on /in our skin is the culprit. A Dr. Annette Anderson from canada has used 'Kwellada" shampoo and lotion, along w/a sulfacet [?] face cream. She said in Canada..this 'kwellada' shampoo and lotion are 'over the counter.

She also suggested using the shampoo on the dog, as this "Demodex Folliculorum" mite may come from pets. What the heck---any validity here?

Second: On a blog I read about 'nutritional' helps. The gal gave a website to order a book by ROBERT CAMPBELL "LIve Rosacea Free". I am unable to find this book and the site no longer exists.
Anyone heard of this book? I am so interested in from the inside -out.

I had noticed a huge lessening of red when i was taking magnesium [250-300 mg]religiously, along w/extra Omega 3's. Read here on your other site about M.O.M.--[more magnesium...hmmmm] and tried it. seemed to help, but w/all things i do better w/amounts/times/quantities etc.

These things are all getting more intense for me, and now have 'breakouts' of those white pimply things that are a whole lot more than just pimples----what is to be done about those?
I think in biology class about 101 yrs. ago I read about 'mites' that live on out eyelids to keep them 'clean'? true/false?

Nutritional ideas/thoughts/suggestions/recommendations?
Thank you for all u do!

I forgot to ck the notification box.
PLEASE- always notify.
thank you

Selsun Blue has helped my condition of Blepharitis immensely. I shampoo my hair and my face with Selsun Blue. While it has not completely cured the problem, it has helped.

I have been suffering from rosecea for about 6-7 years. Afterwards it began in my eyes... ocular rosecea. Now it has degenerated in to blepharitis.
I have followed all recommendations from my ophthalmologist and dermatologists. Nothing works. The baby shampoo irritates and stings my eyes.

The eye pads for cleansing also irritate my eyes and surrounding skin.
This last 4 days I have been using warm chamomile compresses along with the never ending drops. I feel the chamomile is helping. Could use other ideas.


Thanking you in advance,
Melumar

I have had the dry, red, flaky and itchy eyes for about 3 weeks now and nothing has helped. I came across this site and decided to give the t-gel a try. I was shocked after one washing how quickly the symptoms improved.

Thanks So Much, for this forum!
Sue

Like "CF", I would really like to know what exactly causes this condition, and why it is considered to be a lifelong problem.

Patty, this is from cf---Right now, considering the PP comment above on yeast infection:

I have done some other things that appear to help.
1-cut down [should be cut out totally] sugars and gluten. Stopped eating refined foods--as many as possible. [And hey, this is a good thing period.]

2-been more careful with taking probiotics regularly.

3-change products regularly since these 'buggers' appear to become immune after a week or 3. However, it does seem to work to rotate, not just toss products after a few weeks.

4-perhaps since I have also been diagnosed with 'dry eyes', those drops may be helping? 'Refresh Tears' may also be moisturizing the lids. [?]

While some helps here, and they have helped as redness and itching is less------ I still regularly walk about looking like I have a 'buzz' going on, with red rimmed eyes. Like others I have not found that on solution. However do not want to consider taking anit-biotics--as I feel they cause too many other negative results.

Disheartening. Perhaps more regular care throughout the day?
Not only morning and nite? Not sure, but pretty difficult to do.
Best to you.

PS-- do consider allergies as mentioned above. Just remembered that when I am near cats it is worse [for me]

Some thoughts:

-- It appears that "blepharitis", which I understand means nothing more than "eyelid rash", has several different causes. This may be why it seems like there are no "straight answers" forthcoming.

-- I also wonder if the medical community doesn't quite take it seriously enough. This is obviously not a "quick look and a prescription" kind of ailment. But treating it that way, it's no surprise that they claim that it's a "lifelong condition".

-- Watching my case closely, I've concluded: (1)The sensitive skin around my eyes is damaged by my too-much-time-in-the-sun a few years back, probably more than anywhere else (2) The "blepharitis" started when my eyelid skin developed little wrinkles, leaving it vulnerable to infection, (3) It has spread to a couple of spots on my forehead and neck, where scratchy winter clothing has been rubbing for months, which backs up my sense that it is an infection which takes advantage of damaged skin.

-- I don't know what kind of infection it is, but it seems likely that it's fungal, from what I'm reading. I don't see why a fungal infection should be a "lifelong condition", if the conditions that allow it to attack are changed.

I've tried some very good herbal medicines, and they soothed it, but didn't stop it. I'm now trying the T-Gel that is mentioned so often here, because of you kindly people who posted that.

I'm also going to try garlic, externally as a poultice. I understand that it is an excellent anti-fungal agent. Might not be able to put it near my eyes, but if it works on the farther-from-eyes spots, we'll see.

Thank you, Terry and Joe, and everybody here, for being so helpful. I will keep following these discussions!

I had this condition a while back and had written in regarding using Listerine. I had good results and I haven't had any symptoms lately. I realized I also have been using coconut oil as a moisturizer at night, and making sure to get my eyelids, mostly to keep the wrinkles away. Is it possible that the coconut oil helped to keep the scaliness away too? It's worth a try for you.

Patty-about the spread you mentioned. VERY unsure about using apple cider vinegar on the eyelids, but perhaps it would help on the other rash areas?

From various other posts I have read it is very helpful on the scalp and feet. It might be worth a try. Good luck to you.

I decided that the cream I put on my face nightly was migrating to my eyelids and now coat the area between my upper lashes and brows with Vaseline before applying anything to my face. I have been doing this for over a year, and that area has been totally free of any scaling or redness. Also, it seems to me to be less wrinkled.

Ok, so I bought T-Gel and starting washing the whole eye area with it, and after 2 days the rash was starting to subside. It's been about 4 days now, and it's getting a little better every day.

The T-Gel definitely hurts if it gets in my eyes, and it does.

I don't know for sure whether it's the T-Gel itself which is working, or just scrubbing really well. Once my rash is completely gone, I'm going to switch to baby shampoo. I understand now why using baby shampoo is recommended; in cases where scrubbing is all that is needed, baby shampoo makes it possible to do without it being so unpleasant that you're tempted to give it up.

Something I also wanted to share with others here is: I think what we're hearing about "good hygiene" is confusing. The thing is: a lot more than normal good hygiene is required with this. We're trying to remove microscopic stuff from tiny folds of skin, in a really sensitive place, and it takes a lot of effort and time. But it's working.

I'll do it for the rest of my life if I have to, as long as it works! That's why I think it will be important to switch to baby shampoo. That pine-tar-oil stuff in T-Gel may be really effective, but hopefully isn't necessary to maintain a blepharitis-free face.

Also: after I do the scrubbing, my face feels super tight and dry and uncomfortable, and that's where the soothing stuff comes in. I have three favorites, all from Whole Foods or a similar store: (1) Jojoba Oil, (2) a Comfrey salve, and (3) a lotion with Calendula. They're all a little different, and I alternate between them and spend a lot of time spreading them on throughout the day.

Thanks VERY much again to everybody who posted here. I hope what I learned might help somebody else.

Worth a try - it makes sense, if the blepharitis is indeed a fungal thing, because that works in other places on the body for yeast-type stuff. Thank you!

Good news of the day: About Johnson and Johnson Baby shampoo from EWG-- I recently read they have pledged to remove harmful chemicals. About time. Harmful chemicals for BABIES...really? Anyway they deserve applause and encouragement to remove more harm from other products. A hopeful beginning.

Hi I been diagnosed with dry eyes, blepharitis and also pds, all kinds of things in my eyes, long ago...
one thing I have noticed is that since I switched towards a more Alkaline Diet, my vision have improved, more energy and this feel good feeling, and more important the blepharitis have improve tremendously, reading most of your testimonies here, makes sense, if the cause is a rash due a fungus or bacteria, lets consider that bacterias, fungus and many other things, can't develop in a balance ph environment.

Most of our diet is acid oriented and this is not good, any way I just wanted to share with you all that I use warm water with baby shampoo and bit of baking soda this have works perfect for me, keep my eyes clears and out of trouble, day and night I wash them with the same solution and a very gentle face brush...

all the best for all of you who have it.. lets don't get discouraged.

Really appreciate Dany's post about skin pH and blepharitis. What you say makes good sense and it hadn't occurred to me.

I did a little reading, and apparently our skin can be too alkaline OR too acid, and should be handled accordingly. I suspect mine is too alkaline, so not sure I should use baking soda, which I know is alkaline. I'm trying out using diluted apple cider vinegar, which is said to restore the correct skin pH. But the proof will be in the results.

To me, this is a pretty serious issue, and it's frustrating that the medical community seems to have nothing useful to offer except that we should plan to live with it for the rest of our lives.

All the best to you too, Dany, and everybody reading this. I second that: don't give up, stay positive, persevere.

Patty

What is T/Gel?

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