Ulcerative blepharitis: is less common, but more serious. It is characterized by matted, hard crusts around the eyelashes, which when removed, leave small sores that ooze or bleed. There may also be:
- A loss of eyelashes
- Distortion of the front edges of the eyelids and chronic tearing
- In severe cases, the cornea, the transparent front covering of the eyeball, may also become inflamed.
In many cases, good eyelid hygiene and a regular cleaning routine may control blepharitis. This includes frequent scalp and face washing; warm soaks of the eyelids; and eyelid scrubs. In cases where bacterial infection is a cause, eyelid hygiene may be combined with various antibiotics and other medications. Eyelid hygiene is especially important upon awakening because debris can build up during sleep.