severe blepharoconjunctivitis in right eye (picture)

[ywds]

After i was injected triamcinolone acetonide in one chalazion in my upper eyelid a year and a half ago, infection spread to my lower eyelid and conjunctiva. Since then I have been using several antibiotics with little help: ofloxacin, ciprofloxacin, monofloxacin, fusicid acid, chlortetracycline... Also anti-inflamatory drugs like Tobradex and FML which help reduce inflamation but not treat the cause.
What worries me now is that inflamation has reached near the cornea, as an incomplete bluish ring. May this threaten the cornea? My vision is not normal and i have had watery eye for about half a year now.
What treatment do you think will be best for this condition? Ciclosporine after a steroid, another antibiotic?
Thanks
http://www.medhelp.org/user_photos/show/198934?personal_page_id=993857

[ywds]

what causes the accumulation of foam along the eyelid margin? Is  it normal to have just one eye affected? May this condition reverse or the glands will be permanently damaged? When i use steroids some glands start functioning normally again.

[John C Hagan III, MD, FACS, FAAO]

Long term steroid eye use like long term steroid use by pill form makes side effects almost inevitable. In the eye it includes cataracts, glaucoma and increased risk of fungus infections.

JCH MD

[ywds]

whats the point of gradually reducing the dose of steroids used in ophthalmology? Ive never been told to do so.

[ywds]

whats the point of gradually reducing the dose of steroids used in ophthalmology? Ive never been told to do so.

[John C Hagan III, MD, FACS, FAAO]

I would suggest a second opinion with a cornea/external disease specialist. Find one at www.aao.org or ask your present Eye MD to get a second opinion from the specialist he respects most. This is very unusual.  

JCH MD