Conjunctivitis and BlepharitisConjunctivitis and Blepharitis Conjunctivitis is inflammation of the clear membrane that lines the eye. It is caused most commonly by infection with viruses or bacteria or an allergic reaction. Blepharitis is inflammation of the eyelid. It has the same causes as conjunctivitis. Nutritional supplements that may be helpful: Vitamin A deficiency has been reported in people with chronic conjunctivitis.1 It is unknown if vitamin A supplementation can prevent or treat conjunctivitis. Are there any side effects or interactions? (Refer to individual supplement for complete information.) Women who are or could become pregnant should take less than 10,000 IU (3,000 mcg) per day of vitamin A to avoid the risk of birth defects. For other adults, intake above 25,000 IU (7,500 mcg) per day can in rare cases cause headaches, dry skin, hair loss, fatigue, bone problems, and liver damage. Herbs that may be helpful: A number of herbs are traditionally used to treat eye inflammations. All preparations must be boiled and kept sterile before applying to the eyes, to avoid infection. Calendula, eyebright, and chamomile are used to help reduce the swelling and redness when applied topically. Comfrey is a soothing herb used for conjunctivitis. Goldenseal or Oregon grape are antimicrobial and should be applied only if the cause is an infection. Oak bark has been recommended for allergic blepharitis. None of these has been studied for use in conjunctivitis or blepharitis, although they have a long history of use. When using herbal medicines in the eyes, it is important to work with a doctor of natural medicine. Are there any side effects or interactions? (Refer to individual herb for complete information.) Except for the very rare person who is allergic to calendula and therefore should not use it, there are no known side effects or interactions. Due to limited information on the active constituents in eyebright and the need for sterility in substances used topically in the eyes, the traditional use of eyebright as a topical compress cannot currently be recommended. Used internally at the amounts listed above, eyebright is generally safe. However, its safety during pregnancy and lactation has not been proven. Although rare, allergic reactions to chamomile have been reported. These reactions have included allergic skin reactions with topical use. While such side effects are extremely uncommon, persons with allergies to plants of the Asteraceae family (ragweed, aster, and chrysanthemum) should avoid use of chamomile. There are no contraindications to the use of chamomile during pregnancy or lactation. Comfrey should not be used internally without careful supervision by an herbal practitioner, as it can damage the liver. Checklist for Conjunctivitis and Blepharitis Nutritional Supplements Herbs Homeopathic Remedies Vitamin ACalendula Eyebright Chamomile Comfrey Goldenseal Oregon grape OakArgentum nitricum 6c Mercurius sol 6c Hepar sulph 6c References: 1. Rankov BG. Vitamin A and carotene concentration in serum in persons with chronic conjunctivitis and pterygium. Int J Vitam Nutr Res 1976;46:454-7 [in German] Copyright © 1998 Virtual Health, LLC The information presented in HealthNotes Online is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your physician, nutritionally-oriented health care practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications.