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She has had this condition for 2 years now, and before I approach other medical institutions and spending huge money, I am listening to suggestions.
Please tell me your stories of journies.

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A friend of mine has this and it is daily or more often "scrubbing" her eye lids with special eye wipes.
Other than daily scrubbing there is no other option and no "cure"
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"An inflammation of the eyelid that affects the eyelashes or tear production.
Blepharitis commonly occurs when the tiny oil glands of the inner eyelid become inflamed. It often occurs along with other skin conditions or allergies.
CommonMore than 200,000 US cases per year
Treatment can help, but this condition can't be cured
Requires a medical diagnosis
Lab tests or imaging rarely required
Chronic: can last for years or be lifelong"

Looks like its not curable.
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waytomisery Mar 2024
There were residents in the nursing home that we washed eyelids with diluted baby shampoo ( followed by a rinse ) once a day forever to keep it at bay .
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This condition of the eyelids along the lash line is notoriously hard to treat in the aging. This is a matter of the eye lid lining becoming so clogged overtimes in terms of glands and ducts, and the skin surrounding so extremely fragile that nothing works. People tell them to put on warm packs and they often come to ER with burns of the eyelids due to their inability to feel the heat, and the fragility of the skin.

Over time some infection sets in, and treating this with antibiotics can set up a fungal response that puts the poor senior in a mad circle of fungal infection, then bacterial, then fungal.
The best thing to do is find the best eye doc one can and stay on it with recommended treatment. I am so sorry for this. But just walking the streets where you meet up with elders will show you at a glance how many are beset by this troublesome condition.
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Does she scrub her eyelids with something like this? https://www.amazon.com/OCuSOFT-Scrub-Original-Pre-Moistened-Count/dp/B00NNZRJ2G This is what my eye doc told me to use when I had it. I think I also had ointment to apply afterwards but I can’t remember what it was
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A dab of Vaseline on the eyelashes at bed time can help too
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Warm water soaks to eyes to loosen any crust .
Mix alittle baby shampoo with water , dip soft cloth in the mixture , use the cloth to gently clean eye lids , especially where eyelashes meet the lid . ( I used cotton eye rounds , one for each eye .)
Use a new cloth to rinse with water .
We used to do this for residents in the nursing home I worked at .
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As well as lid wipes are you using drops for dry eyes? (my mom liked Celluvisc)
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Look up "eyelid cleanser" on Amazon. Order some. That's the treatment for blepharitis.
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