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Lid Margin Disease

Lid margin disease is a common, persistent inflammation of the eyelids. Symptoms include irritation, itching, and occasionally, a red eye. This condition frequently occurs in people who have a tendency towards oily skin, dandruff, or dry eyes.

Bacteria normally reside on everyone's skin, but in some people they thrive in the skin at the base of the eyelashes. Nearby oil glands may be overactive, causing dandruff-like scales and particles to form along the lashes and eyelid margins, which can cause redness, stinging or burning.

Lid margin disease may not be cured, but it can be controlled with a few simple daily hygienic measures:

  • At least twice a day, place a warm, wet washcloth over the closed eyelids for a minute. Rewet it as it cools, two or three times. This will soften and loosen scales and debris. More importantly, it helps liquefy the oily secretions from the eyelids' oil glands that help prevent the development of a chalazion, an inflamed lump in an eyelid oil gland.
  • With your finger covered with a thin washcloth, cotton swab, or commercial lint-free pad, gently scrub the base of the lashes about 15 seconds per lid.
  • When medications are necessary, they may include:
  • Artificial tears to relieve symptoms of dry eye. (These are eye drops that are available without a prescription.)
  • Antibiotics (oral or topical) to decrease bacteria on the eyelids.
  • Occasionally steroids (short-term) to decrease inflammation.

Medications alone are not sufficient; the application of warmth and detailed cleansing of the lashes daily is the key to controlling lid margin disease.


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An independent review of last year's results at the Boston Eye Group shows that 92%-96% of our patients were able to see 20/25 or better. 100% of patients were able to see 20/40 or better. This will usually enable you to pass a driver's license eye examination without glasses or contact lenses. Most patients are able to perform their daily activities and enjoy many sports with minimal, if any, reliance on glasses.

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Contact us to learn more about Laser Vision Correction and other surgical treatment options to improve your vision. Our specialists have extensive experience and training, and our patients report great satisfaction with their laser eye surgery. Dr Melki is on the clinical faculty at Harvard Medical School and has conducted thousands of laser eye surgery procedures. Learn more about Laser Eye Surgery and financing options. We have a page on this website dedicated to discussing LASIK patient financing. You can even fill out an online application to qualify for LASIK financing. We offer 0% financing, on approved credit with low fixed monthly payments, no down payment and no pre-payment penalty.

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Commitment to Quality

In addition to superior experience, ensuring the utmost success and safety during laser vision correction involves using state-of-the-art equipment and highly trained personnel. This is translated into a higher cost than found at the so-called "discount Lasik chains". We believe that our patients understand that a compromise on quality is unacceptable when it comes to one's vision. It is our commitment to best service and technology that determines our pricing model.

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What is iLASIK?

Are you ready to reduce or eliminate your dependence on glasses or contact lenses? The iLASIK Procedure is the result of a decade's worth of technical refinement; it combines all of the most advanced all-laser LASIK technology in one efficient LASIK procedure... It simply doesn't get any better, so now is the time.

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Recent News

Dr Fava receives best paper award at the American Society of Cataract and Refractive Surgery annual meeting

Dr Melki named in the top 250 intraocular lens innovators

Mass Eye and Eye partners with Boston Laser to deliver Cosmetic services in Brookline

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  • Fletcher from WFNX, has the lasik procedure at Boston Laser

Our web site was created as a patient education resource for any interested patient. Feel free to explore the entire website to get the answers to the questions that you have been seeking. If you have service, LASIK, cosmetic, or cataract questions call us we can help!(617) 566-0062

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Eliana Monteforte: I've never in my life been able to see 20/20. When I was told I could no longer wear contacts because of my astigmatism I turned to laser surgery. After much research, I learned Dr. Melki is one of th ... (more)12.04.2011 um 4:03