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I know, it does beggar belief! However, doesn't help when the College website offers the following:
There is good evidence that lid hygiene is effective in the management of blepharitis. Two methods are commonly used to clean the lid margins:
diluted baby shampoo (1:10) applied with a swab or cotton bud
dedicated lid cleaning solutions or impregnated wipes.
We support both these methods as part of a standard lid hygiene regime and recommend that optometrists discuss the advantages and disadvantages of both methods with patients.
In the absence of high quality evidence, we believe that there is a need for further research comparing specific lid hygiene techniques to support future evidence based recommendations.
I am working on a publication that argues that we should not used unlicensed medical devices where licensed devices are available. A widely accepted principle and one the College follows when they argue AGAINST our use of “unlicensed” fluorescein. It perplexes me to think that they can advocate baby shampoo because it how we did it in the olden day’s!
I agree it’s so out if date. When I studied for my CLO in 2010 I was taught baby shampoo by college. I put this answer on my exams & was firmly told these methods were out of date & I lost marks. In my opinion it’s all about compliance, I certainly don’t know if anyone who would efficiently cool & boil water twice a day to make up a solution. Surely if you want compliance wipes & ready made solutions such as Blephasol are much more effective.
02/04/2026: I am proud to announce that Subhash Sutar, Freelance Clinical & Therapeutics Application Specialist, has agreed to a pharmaceutical consultancy role in regard to P & POM ocular medications in the Database.
01/04/2026: News of two ocular surface webinars posted in The Forum.
31/03/2026: Pre-reg optometrist post sought. Go to The Forum.
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