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Skin concerns

Blepharitis

Chronic inflammation of the eyelid margins. Common, uncomfortable and often associated with seborrhoeic dermatitis or rosacea. It benefits from consistent routine.

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What is Blepharitis

Blepharitis is chronic inflammation of the eyelid margins — the line where eyelashes grow. It may involve the outer edge (previous blepharitis) or Meibomius glands (posterior blepharitis).

It is often chronic, with stages of improvement and worsening. It is often associated with seborrhoeic dermatitis, rosacea (in the ocular variant) or oily skin. An eyelid hygiene routine is the basis of treatment.

Signs and symptoms

  • Redness on the eyelid margin.
  • Scaling — small scales at the base of the eyelashes.
  • Feeling of sand or foreign body in the eye.
  • Burning or itching of the eyelids.
  • Dry eyes or excessive tearing.
  • Dissemination glues to the eyelashes upon waking up.
  • Sensitivity to sunlight.
  • In chronic cases — drop in eyelashes or change in direction of growth.

Causes

  • Seborrhoeic dermatitis with eyelid involvement.
  • Ocular Rosacea
  • Changes in Meibomius glands — dysfunction of lipid secretion.
  • Colonization by bacteria or mites (Demodex) at the base of the eyelashes.
  • Associated eye allergies.
  • Common use of eye cosmetics or contact lenses.
  • Dry environment, screens, pollution.

Diagnosis

The diagnosis is clinical. In an online consultation, the dermatologist evaluates photographs of eyelids in good lighting and a questionnaire on symptoms, evolution and associated conditions (seborrhoeic dermatitis, rosacea, dry eye).

In cases with significant ocular involvement or marked dry eye symptoms, coordination with ophthalmology may be recommended.

Options for treatment

Treatment is mainly based on daily care routine. Many cases do not require medication to be controlled.

Eyelid hygiene

Warm compresses to soften secretions, followed by gentle cleansing of the eyelids. Daily routine which is the basis of long-term control. There are specific products for eyelid hygiene that the dermatologist can recommend.

Topical application

In the most inflammatory phases or with more evident secretions, the dermatologist may indicate specific formulations.

Control of associated conditions

If there is facial seborrhoeic dermatitis or rosacea, treatment of these conditions improves parallel to blepharitis. Global approach.

Talk to a dermatologist about your bluff

No months-long wait for an in-person appointment. Each case reaches the dermatologist already prepared with photographs, history and questionnaire answers. Choose a report in under 24h or a booked video consultation.

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Frequently asked questions

Is it contagious?

Nope. Blepharitis is an inflammation, not a transmissible infection. It involves individual mechanisms of the eyelid glands.

Is there a cure?

Usually not. It is a chronic condition that is controlled with daily routine. The good news — very well controlled, is almost asymptomatic for many patients.

Is online consultation for bluffing?

Yeah. It is essentially a routine issue of adapted care — very suitable for online consultation. In cases with more intense ocular involvement, the dermatologist can guide the evaluation of complementary ophthalmology.

Can I wear makeup?

Yes, with prudence. Prefer hypoallergenic products, remove completely before bedtime, avoid cosmetic eyelash line in more inflammatory phases.

Control the bluff with a certain routine

Send photos and answer the questionnaire. A dermatologist proposes routine and plan — on average, useful 24 hours.