Blepharitis- Dr. Nikolina Budimlija

“Gentle” doesn’t always mean safe, especially for the #ocularsurface. Oculoplastic surgeon Dr. Nikolina Budimlija (Ireland) explains why baby shampoo can strip essential lipids from the lid margin, disrupt the #tearfilm, and increase irritation in patients with chronic blepharitis. As our understanding of the lid microbiome and ocular surface physiology has evolved, so have our tools. Purpose-formulated lid cleansers including HOCl-based solutions, low-concentration tea tree options, and lipid-friendly formulas offer targeted antimicrobial action without compromising the tear film. It’s time to update the routine. Evidence-based lid hygiene starts with products designed for the eye, not the scalp.