In cases of blepharitis, particularly of the ulcerative type, great difficulty is experienced in removing the densely adherent scales. In many instances, even after the prolonged use of ointment, shampooing of the lashes with bland soap and manual manipulation with cotton or
Blepharitis comb. gauze, a great number of scales and fine scabs are still found firmly attached to the skin of the borders of the lids and enmeshed between the base of the cilia.
The comb1 shown in the accompanying illustration consists of eight metallic needles, 3 mm. long, covering a width of 3 mm. With this instrument the branlike scales of blepharitis squamosa are removed from the eyelashes in one treatment. In cases of stubborn blepharitis ulcerosa, if the scabs are first made oily by the use of petrolatum or boric acid ointment it is possible to remove them without bleeding or discomfort. The edge of the
Smith JW. BLEPHARITIS COMB. Arch Ophthalmol. 1938;20(4):658. doi:10.1001/archopht.1938.00850220130011