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

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

User752355 said on 28 February 2013

I wear contact lenses extensively and I had recently been experiencing dry red eyes, they we're not painful, they just did not look very attractice. I tried to remedy the problem myself with various eye drops from the pharmacy and supermarket with no success.

After speaking with 3 different opticians and 2 doctors I was told a range of remedies from baby shampoo, hot flannels and eye massages, clinitas drops. All were fiddly and time consuming.

Until I was recommended by the last optician to buy Blephasol! it also is an excellent make up remover. I now only wear my lenses for events/parties its very manageable now thanks to blephasol! I have also just ordered a MGDRx Eye Bag online as this is also has been recommended to unblock your tear ducts! i will update with my findings!

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Chibitammy6 said on 15 February 2013

Having suffered from a dry scalp since childhood I decided that you can't have a symptom without a cause so I eliminated all products that contain yeast from my diet. After roughly 2 weeks of this my scalp was almost completely clear & the itching had stopped. It was also really important to make sure not to scratch as this can introduce bacteria to an already sore area & cause further issues.

Since I became pregnant, my appetite has gone through the roof & I've had to resort to eating bread in the day or else I get queasy!

I have now got my scalp issue back full throttle, coupled with sore, red, itchy & flaky eyelids. I did have a minor episode of this last time I had bread, which went away when I stopped eating it again.

I just wanted to encourage you all & say that perhaps limiting something like yeast from your diet will mean you don't have to develop complex skincare routines that cost money & take time. From experience, I'd say it's definitely worth it.

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LondonLife said on 10 November 2012

I have been suffering with severe blepharitis and found the warm wet presses and eye drops weren’t quite enough. Luckily the article above points out that an itchy scalp and dermatitis can also play a role; so I have been treating this too. Using an antidandruff shampoo (one for itchy scalps) and by rinsing my eyes out with contact lens solution (in order to decrease the bacteria in my eyes) has helped get things under control. I now regularly use contact lens solution morning and night to help kill the bacteria and use a standard anti dandruff shampoo. I used to be a contact lens wearer and so am used to using all in one solutions for soft lenses. These solutions are excellent for killing bacteria and fungi and are the correct pH for eyes.

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LondonLife said on 10 November 2012

I have been suffering with severe blepharitis and found the warm wet presses and eye drops weren’t quite enough. Luckily the article above points out that an itchy scalp and dermatitis can also play a role; so I have been treating this too. Using an antidandruff shampoo (one for itchy scalps) and by rinsing my eyes out with contact lens solution (in order to decrease the bacteria in my eyes) has helped get things under control. I now regularly use contact lens solution morning and night to help kill the bacteria and use a standard anti dandruff shampoo. I used to be a contact lens wearer and so am used to using all in one solutions for soft lenses. These solutions are excellent for killing bacteria and fungi and are the correct pH for eyes.

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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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