Blepharitis
What is blepharitis?
Blepharitis refers to the inflammation of the eyelid margins, typically involving both eyes. It occurs when the oil glands at the base of the eyelashes become blocked or irritated by bacteria, leading to redness, swelling and discomfort. While not contagious, this condition is often chronic and can lead to other eye surface problems if not treated properly.
Common symptoms
- Red or swollen eyelids
- Crusting around the lashes, especially in the morning
- Sticky eyelids
- Burning or stinging sensations in the eyes
- Flaky or greasy-looking skin around the lashes
- Sensitivity to Light (Photophobia)
- Watery Eyes (Epiphora)
- Blurred vision that clears after blinking
Diagnosis & evaluation
At Eagle Eye Centre, diagnosis of blepharitis begins with a comprehensive eye examination and symptom review. Our ophthalmologists will inspect your eyelid margins using a slit-lamp microscope to check for inflammation, debris, and tear film issues. Additional tests may include:
- Eyelash sampling to detect mites
- Tear film breakup time
- Bacterial swabs if infection is suspected
Treatments
Treatment for blepharitis depends on its severity and cause.
At-home care
- Daily warm compresses to loosen oil and debris
- Gentle eyelid cleansing using approved lid scrubs or hypoallergenic cleansers
- Eyelid massage to express clogged glands
Medications
- Antibiotic ointments for bacterial blepharitis
- Short-term steroid drops to reduce inflammation
- Oral antibiotics for persistent or rosacea-related cases
Advanced in-clinic treatments
- BlephEx: a medical exfoliation of the eyelid margins to remove bacterial biofilm and debris
- LipiFlow: thermal pulsation therapy for treating meibomian gland dysfunction
- IPL therapy: intense pulsed light to improve gland function and reduce inflammation
- Targeted treatment for Demodex mites when present
Preventing future flare-ups
To reduce the risk of recurrence:
- Maintain consistent eyelid hygiene, even when symptoms improve
- Manage associated skin conditions, such as rosacea or dandruff
- Avoid using eye makeup or contact lenses during flare-ups
- Stay in touch with your ophthalmologist for regular follow-ups
- Use prescribed maintenance treatments as directed
Risk factors
It is important to note that this condition is not caused by poor personal hygiene, though consistent eyelid care is crucial for management.
- Clogged meibomian (oil) glands
- Bacterial overgrowth at the eyelid margins
- Skin conditions such as dandruff or rosacea
- Eyelash mites (Demodex)
- Allergies involving the eyes or cosmetics
- Poor eyelid hygiene
- Hormonal changes
- Contact lens use
WHAT YOU SEE MATTERS
Find relief from blepharitis
If you are experiencing red, itchy, or crusty eyelids, it is important to get evaluated early. Our team at Eagle Eye Centre is equipped with the latest technology and clinical expertise to provide effective and lasting relief from blepharitis.