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12-03-2008, 05:50 PM
Eye lid Scarring
Severe or persistent blepharitis can occasionally lead to scarring of the eyelid. This leads to lashes growing in towards the eye, which they may rub.
The lashes need to be removed, and there are other treatments if they are a frequent problem. Antibiotic tablets may help to eliminate the blepharitis.

If the eyelids become scarred eyelashes may start to grow in and irritate the eye; they will need to be removed every now and again.

Other causes of sore eyes

Your eyes should be checked for other conditions such as glaucoma, by an optometrist; occasionally new spectacles may make the eyes more comfortable.
Many drugs cause sore eyes. These include losec and zoton for hiatus hernia (often unnecessary (http://www.bmj.com/cgi/content/short/336/7634/2)), antidepressants, and many blood pressure lowering tablets, and frusemide. The more of these drugs you are on, the more sore your eyes. The drugs do not damage your eyes in any way (and they are often important...blood pressure tablets prevent strokes, for example).
You may have dry eyes (http://www.goodhope.org.uk/departments/eyedept/sore%20dry%20eye.htm) (or at least poorly spreading tears) and replacement tears may help, as described.
You may have an allergy, particularly if the eyes are itchy: try Optichrom or another anti-allergy drop.
If your eyes remain red and very irritable an ophthalmologist will need to check your eyes in an Eye Clinic. ('Dry eyes' is the most likely cause).
Blepharitis is not serious; some people whose eyes remain sore have little medically wrong, and are in fact anxious and unduly concerned. Your GP may be able to advise.
It may seem strange but a healthy diet helps prevent dry eyes and blepharitis.

treatment for high blood pressure appears to make the eyes feel dry. A high blood pressure is harmful, and the effect of the drugs (the irritable dry eye) is not harmful, so it is safer to use the drugs. But if you could lower your blood pressure by increasing exercise, reducing alcohol and salt, this would be preferable.
omega 3 fats such as those in fish reduce 'dry eyes' by 30-60% (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16210721&query_hl=5). This healthy diet is discussed here (http://www.americanheart.org/presenter.jhtml?identifier=4632).
peptic ulcers and hiatus hernias may necessitate proton-pump inhibitor treatment, and these probably make the eyes feel more irritable (my observation)
similarly smoking will put blood pressure up and make peptic ulcers and hiatus hernias more common, so indirectly make the eyes more sore (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12486509&query_hl=12)
a healthy lifestyle is discussed in more detail here (http://www.goodhope.org.uk/departments/eyedept/armd%20pathol.htm#hl)