CKS Blepharitis


First Line: Lid hygiene for symptom control including: warm compresses, lid massage and scrubs, gentle washing and avoiding cosmetics.

Second Line: Topical antibiotics if hygiene measures are ineffective after 2 weeks.

Signs of Meibomeian gland dysfunction or acne rosacea: Consider oral antibiotics

First Line: Self Care

Second Line: Chloramphenicol


1% Ointment BD


6 week trial

Third Line:

Oral oxytetracycline

500mg BD for 4 weeks then 250mg BD for 8 weeks as maintenance


Oral doxycycline

100mg OD for 4 weeks then 50mg OD for 8 weeks as maintenance