Blepharitis and Dry Eye Treatment in the UK
Dry eye and blepharitis are the commonest reasons for sore, gritty, watery eyes — and the commonest things to be treated badly. Drops alone rarely fix an oil-gland problem. A proper assessment looks at tear quality, lid margins, meibomian gland function and the ocular surface, then treats the cause rather than only the symptoms.
- Slit-lamp assessment of tear film, lid margins and gland function
- Treats the cause — evaporative, aqueous-deficient or mixed dry eye
- Written long-term plan rather than another bottle of drops
- Screening for the underlying conditions that drive dry eye
Symptoms we see most often
- Gritty, sandy or burning eyes, worse by the end of the day
- Watering eyes — often a sign of dryness, not too many tears
- Crusty, sticky lashes in the morning
- Fluctuating or smeary vision that clears when you blink
- Contact lenses that have become uncomfortable
- Red lid margins and repeated styes
How blepharitis and dry eye are treated
The plan is matched to the type of dry eye you have. Most people need a combination, and the sequence matters as much as the products.
- Lid hygiene and warm compress technique taught properly, with realistic timescales
- Preservative-free lubricants matched to tear film type and frequency of use
- Meibomian gland expression and lid margin treatment
- Anti-inflammatory treatment where the surface is genuinely inflamed
- Punctal plugs for aqueous-deficient dry eye
- Review of medication, screen habits and any underlying autoimmune or skin condition
What improvement looks like
Dry eye is managed rather than cured overnight. Most people feel a clear difference within four to eight weeks of doing the right treatment consistently.
- First two weeks: symptom relief from lubricants and lid care
- Four to eight weeks: gland function and comfort improve
- Review appointment to adjust the plan rather than repeating it blindly
- Long-term maintenance routine so the symptoms do not return
When to seek urgent care
- • Sudden pain, light sensitivity or a drop in vision — this needs same-day assessment
- • A red eye with discharge that is getting worse
- • Dry eye alongside joint pain or a dry mouth, which may point to an autoimmune cause
Frequently asked questions
Book an assessment
Appointments with Ms Tahmina Pearsall are available across the UK, with urgent slots prioritised for sudden symptoms.
The £250 consultation fee is charged separately from any treatment or surgery.
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