Understanding Blepharitis

A Patient's Guide to Eyelid Inflammation

Dermatology

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Last updated: Mar 24, 2025

What is Blepharitis?

Blepharitis is a chronic inflammation of the eyelids, particularly affecting the area where the eyelashes grow. This common condition can affect both eyes and often occurs in people of all ages.

Common Symptoms

  • Redness of the eyelids
  • Burning or stinging sensation
  • Itchy eyelids
  • Flaking skin around the eyes
  • Crusty debris at the base of eyelashes
  • Gritty, irritated eyes
  • Increased sensitivity to light
  • Swollen eyelids

Causes

Primary Causes:

  • Bacterial overgrowth on the eyelids
  • Dysfunction of the meibomian (oil) glands
  • Seborrheic dermatitis
  • Allergies

Risk Factors:

  • Poor eyelid hygiene
  • Rosacea
  • Seborrheic dermatitis
  • Allergies
  • Dry eyes

Treatment Options

Self-Care Measures

  1. Warm Compresses

    • Apply for 5-10 minutes daily
    • Helps loosen crusts and oil buildup
  2. Eyelid Cleaning

    • Gentle cleansing with baby shampoo or specialized cleanser
    • Regular removal of debris and crusts

Medical Treatments

  • Antibiotic ointments or drops
  • Anti-inflammatory medications
  • Artificial tears for associated dry eye
  • Special eyelid cleansing products

Prevention

  • Maintain good eyelid hygiene
  • Remove eye makeup completely
  • Avoid touching or rubbing eyes
  • Use clean towels and washcloths

When to See a Doctor

  • Severe redness or swelling
  • Vision changes
  • Persistent symptoms despite self-care
  • Spreading inflammation

Long-term Management

Blepharitis is often chronic and requires ongoing maintenance. Regular eyelid hygiene and following your doctor's treatment plan are essential for managing symptoms effectively.

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