An inflammation of the meibomian glands, a group of oil-secreting glands (sebaceous glands) of the eyelids. The glands are within the structure of the lids and have tiny openings to release their secretions on the edges of the lids.

Causes, incidence, and risk factors

Any condition which increases the thickness of the oily secretions of the meibomian glands will allow excess oils to accumulate on the edges of the lids, where the bacteria, which are normally present on the skin, become more numerous. Excess and thickened oily secretions may be due to allergy, adolescence, or general skin conditions such as rosacea .

Signs and tests

Meibomianitis can be diagnosed by eye examination. Special tests are not required.

Treatment

Careful cleansing of the edges of the lids with cotton-tip applicators and tepid water or baby shampoo will usually minimize symptoms. The use of an antibiotic ointment applied to the lid edge may also be prescribed. If a general skin condition such as acne or rosacea is present it may also require treatment.

Expectations (prognosis)

Meibomianitis is not vision threatening. Most patients do well with treatment.

Calling your health care provider

Call your health care provider if treatment does not lead to improvement or if styes develop.

Prevention

Attention to lid hygiene will help prevent symptomatic meibomianitis. Certain foods, such as chocolate may aggravate the condition. Treatment of associated general skin conditions will help prevent meibomianitis.