BlephEx Treatment
BlephEx is an in-office procedure that deep cleans the eyelid margins using a specialised rotating micro-sponge. This treatment helps manage blepharitis and meibomian gland dysfunction-common conditions where debris, bacteria, and biofilm accumulate along the eyelids, causing chronic irritation and discomfort.
Understanding the Condition
Blepharitis is inflammation of the eyelid margins that affects many people, particularly as they age. Over time, a complex biofilm-a layer of bacteria and debris-builds up along the base of the eyelashes. This biofilm is difficult to remove with regular lid hygiene alone and can lead to:
Persistent eye irritation and redness
Gritty, burning, or stinging sensations
Crusting along the lashes, especially upon waking
Fluctuating vision from unstable tear film
Recurrent styes or chalazia
Meibomian gland dysfunction occurs when the oil-producing glands in the eyelids become blocked, reducing the quality of the tear film's protective oil layer. The American Academy of Ophthalmology provides detailed information on these conditions and their management.
How BlephEx Works
The BlephEx device uses a soft, medical-grade micro-sponge that spins along the eyelid margin. This mechanical action:
Removes accumulated debris, crusting, and bacterial biofilm
Exfoliates the lid margin more thoroughly than home cleaning
Clears blocked meibomian gland openings
Creates a cleaner baseline for ongoing lid hygiene maintenance
Think of it as a professional deep clean that complements your daily lid hygiene routine, similar to how professional dental cleaning supplements daily brushing.
The Procedure
BlephEx treatment is straightforward and performed in the clinic:
A drop of anaesthetic is placed in each eye for comfort
The rotating micro-sponge gently cleans along each eyelid margin
Each eyelid takes approximately one to two minutes
Total procedure time is about six to eight minutes for both eyes
A new, sterile micro-sponge tip is used for each patient
Most patients describe the sensation as a light tickling or vibration. The procedure is generally well-tolerated.
What Results Can Be Expected

Following BlephEx treatment, many patients report:
Reduced lid irritation and grittiness
Less crusting along the lashes
Improved comfort, particularly for contact lens wearers
Better response to other dry eye treatments
Published studies on mechanical lid debridement show symptom improvement in many patients with blepharitis. However, it is important to understand that blepharitis is a chronic condition-BlephEx provides a thorough clean but does not cure the underlying tendency.
Treatment is typically repeated every four to six months, depending on symptom recurrence and individual needs. Consistent home lid hygiene between treatments helps maintain results.
Benefits of Professional Treatment
While daily lid cleaning at home is essential, professional BlephEx treatment offers advantages:
More thorough removal of stubborn biofilm
Reaches areas difficult to clean effectively at home
May help restore eyelid margin health to improve response to other treatments
Provides a "reset" that makes ongoing home care more effective
Safety Considerations
BlephEx is a low-risk procedure with minimal side effects:
Temporary mild redness of the eyelids lasting one to three hours
Slight sensitivity when resuming lid cleaning at home for a day or two
Mild tearing during the procedure
Serious complications are rare when performed by trained practitioners. The procedure is not suitable during active lid infections or immediately after eye surgery.
Medical Disclaimer: This information provides general guidance about BlephEx treatment and should not replace professional medical advice. Blepharitis and meibomian gland dysfunction are chronic conditions requiring ongoing management. BlephEx is one component of a comprehensive treatment approach that includes daily lid hygiene. Individual responses to treatment vary. Please consult with our eye care professionals for assessment and recommendations suited to your specific condition.
Contact the clinic if you experience: Significant pain, prolonged redness lasting more than a day, or any concerns about your recovery.

