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What Is Eyelid Inflammation?

Eyelid inflammation, or blepharitis, is irritation and swelling of the eyelid margins. It is commonly chronic and causes red, swollen, greasy or scaly eyelids. Blepharitis usually affects both eyes and results from clogged oil glands, skin conditions like rosacea or dandruff, allergies or demodex mites. Although uncomfortable, it isn't contagious and rarely threatens vision.

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What Is Eyelid Inflammation?

Eyelid inflammation, or blepharitis, is irritation and swelling of the eyelid margins. It is commonly chronic and causes red, swollen, greasy or scaly eyelids. Blepharitis usually affects both eyes and results from clogged oil glands, skin conditions like rosacea or dandruff, allergies or demodex mites. Although uncomfortable, it isn't contagious and rarely threatens vision.

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Causes of Eyelid Inflammation

Blepharitis can occur when the meibomian glands in your eyelids don't secrete enough oil or produce thick oil that blocks gland openings. Skin conditions such as acne rosacea or seborrheic dermatitis, allergies to cosmetics or contact lens solutions, bacterial infection and demodex mites can all contribute. Anterior blepharitis affects the outer lid, while posterior blepharitis involves the meibomian glands.

Symptoms of Blepharitis

Signs include swollen or greasy eyelids, red irritated eyes, crusting around lashes, flakes of skin around the eyes, itching or burning, excessive tearing or dry eyes. Photophobia and blurred vision may also occur. Eyelashes might fall out or grow inward in chronic cases.

Managing and Treating Blepharitis

Daily eyelid hygiene is essential. Apply a warm compress to your eyelids for 10 minutes to soften the oils, then gently scrub the lid margins with diluted baby shampoo or a commercial eyelid cleanser to remove crust and unblock glands. Artificial tears relieve dryness. Severe cases may require antibiotic or steroid eye drops or ointment, and managing underlying skin conditions like rosacea helps reduce flare-ups.

When to Seek Help

Consult an eye specialist if symptoms persist, worsen or interfere with vision. Early diagnosis helps prevent complications like corneal ulcers or chronic irritation. Regular eyelid cleaning and adherence to treatment reduce recurrences, although blepharitis may be a long-term condition.

Frequently Asked Questions

Is blepharitis contagious?

No. Blepharitis is generally not contagious, although infections like styes or conjunctivitis can occur concurrently. Maintaining eyelid hygiene helps reduce bacterial growth.

What is the difference between anterior and posterior blepharitis?

Anterior blepharitis affects the outside of the eyelids where the eyelashes grow, often caused by bacteria or dandruff. Posterior blepharitis affects the inner eyelid and is linked to meibomian gland dysfunction. Both types may occur together.

Can blepharitis cause dry eye?

Yes. Dysfunctional meibomian glands can produce poor-quality or insufficient oil, causing tears to evaporate too quickly and leading to dry eye symptoms.

How can I prevent flare-ups?

Regularly clean your eyelids, remove eye makeup before bed, avoid sharing cosmetics and follow your doctor's instructions. Managing underlying skin conditions and using warm compresses can help prevent flare-ups.