According to By Kimberly A. Suche, B.S., and Joseph P. Shovlin, O.D., F.A.A.O., treating blepharoconjunctivitis involves three steps:

• Educate the patient about maintaining good lid hygiene. Instruct her to apply warm compresses (a face cloth) on both the upper and lower lids for 5 to 10 minutes twice per day.
• Explain the proper use of lid scrubs. She should scrub her lid margins with baby shampoo or a lid scrub kit.
• Teach her to apply an antibiotic ointment to the lids and carefully rub it into the surface. The first choice is bacitracin, which works well against staphylococcal bacteria. But because bacitracin can be very difficult to find, polymyxin B sulfate (Polysporin Ointment) is sometimes prescribed instead. If there�s clinically significant lid margin inflammation concurrent with the staphylococcal blepharitis, a 1-week course of dexamethasone (TobraDex) is a better initial therapy.