Blepharitis 

Introduction 

Eyelid problems

Causes of common eyelid problems, such as swollen eyelids, gritty, itchy or flaky eyelids, and droopy eyelids

Blepharitis is inflammation of the rims of the eyelids, which causes them to become red and swollen. 

Blepharitis is common, accounting for an estimated 1 in 20 eye problems reported to GPs. It is more common in people over 50, although it can develop at any age.

The symptoms of blepharitis can include:

  • burning, soreness or stinging in the eyes
  • crusty eyelashes
  • itchy eyelids

Blepharitis can be caused by a bacterial infection, or it can be a complication of a skin condition such as:

  • seborrhoeic dermatitis, which causes an itchy rash on the skin and scalp (seborrhoeic dermatitis of the scalp is called dandruff)
  • rosacea, which causes the face to appear red and blotchy

It is not possible to catch blepharitis from someone else who has it.

Read more about the causes of blepharitis.

When to see your GP

See your GP if you are unable to control the symptoms of blepharitis with cleaning alone.

You may be referred to an opthalmologist (eye specialist) if you have severe symptoms.

Read more about diagnosing blepharitis.

Treating blepharitis

Blepharitis is usually a long-term (chronic) condition, which means once it develops it can cause repeated episodes.

There is no cure for blepharitis, but establishing a daily eye-cleaning routine can help control the symptoms. This will need to be continued indefinitely. More severe cases of blepharitis may require antibiotics.

Read more about how blepharitis is treated.

Complications

Blepharitis is not usually serious. The most common complication is being unable to wear contact lenses while experiencing symptoms.

Up to half of people whose blepharitis is caused by a bacterial infection also have dry eye syndrome (a condition where the eyes do not produce enough tears or dry out too quickly).

Serious complications, such as sight loss, are rare, particularly if recommended advice is followed.

Read about the complications of blepharitis.

Last reviewed: 17/05/2012

Next review due: 17/05/2014

Comments are personal views. Any information they give has not been checked and may not be accurate.

alriyan said on 05 April 2012

A useful article. Have had dry eye for a few years and doctor has recently diagnosed as (mild) blepharitis a condition I have been experiencing for some months. Watery eyes, inflammed eyelids, itchy gritty eyes. He advised continued use of Viscotears and prescribed Lactilube. He also advised bathing my eyes four times a day with tepid boiled water and baby soap. Happy to say this treatment has quickly brought about a marked improvement.

Thank you, Doctor

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