To the Editor.
—Letters in the June 1988 issue of the Archives1,2 referred to the use of a new, commercially available preparation for the treatment of chronic blepharitis. Duke-Elder and MacFaul3 describe the use of a large number of substances for this common condition and note that "the most effective single measure in the treatment of blepharitis is good lid-hygiene." Included in this list of substances is a bland, isotonic bicarbonate lotion, which was often prescribed by several of my ophthalmic teachers (with an appropriate antibiotic ointment after bacteriological studies had been performed).I began to advise patients to make their own solutions and arbitrarily suggested using one teaspoonful of sodium bicarbonate added to a (British) pint (0.57 L) of tapwater that had been boiled then allowed to cool. This was to be made up weekly or biweekly, and care was taken not to redip cotton-tip applicators. Solutions
Coroneo M. Management of Chronic Blepharitis. Arch Ophthalmol. 1989;107(7):951-952. doi:10.1001/archopht.1989.01070020013001