Blepharitis and Eyelid Inflammation

Do your eyes often feel dry, itchy, or irritated? Do your eyelids get red or crusty, especially in the morning? If so, you might be dealing with Blepharitis.

Blepharitis is one of the most common and most misunderstood eye conditions that affects people of all ages. In most cases, it involves both eyes. Some people with Blepharitis only have mild symptoms, while others suffer from ongoing flare-ups. While it isn’t contagious or dangerous, it can be stubborn and uncomfortable.

Many people with Blepharitis don’t even realize they have it.

Others feel frustrated by the constant need to manage flare-ups or by treatments that don’t seem to work. The truth is, Blepharitis is a long-term condition. But with the right knowledge and routine, it can get under control.

This guide is designed for patients who want to understand Blepharitis in simple, clear terms. We’ll walk you through what causes it, how to spot the symptoms, the different treatment options available, and how to keep it from coming back.

What Causes Blepharitis?

There is not a single cause we can blame blepharitis on. A lot of things may cause eyelid inflammation, for example:

• Bacterial overgrowth

• Seborrheic dermatitis

• Meibomian gland dysfunction

• Allergic reactions

• Eyelash mites

• Dry eye syndrome

• Skin or eye conditions

We all know tiny bacteria naturally live on your skin. But sometimes, bacterial overgrowth may get out of control and irritate the eyelids. Another notable cause of blepharitis is seborrheic dermatitis, a type of skin inflammation linked to dandruff and oily skin, which can affect the eyelids, too.

In some cases, blepharitis is connected to meibomian gland dysfunction (MGD). In simple terms, the tiny glands in your eyelids make oil that helps protect your tears. Blepharitis can develop when these glands get clogged.

Blepharitis can also be triggered due to allergic reactions to makeup, contact lens solutions, or environmental allergens. Another possible cause is eyelash mites. Eyelash mites are tiny parasites called Demodex that live in hair follicles, and if they multiply too much, they may trigger blepharitis.

Sometimes, more than one factor is involved. Blepharitis is often linked with other skin or eye conditions, like rosacea or dry eye syndrome.

RELATED: Is it an Eye Allergy or Something Else?

Common Symptoms of Blepharitis

Blepharitis symptoms vary from person to person. Most people experience one or more of the following:

• Red, swollen eyelids

• Itching or burning sensation

• Watery eyes or dry eyes

• Crusty flakes at the base of the lashes

• Gritty or “foreign body” sensation in the eye

• Eyelashes sticking together in the morning

• Blurry vision improves with blinking

• Light sensitivity

• Frequent blinking

• Eye rubbing

Blepharitis symptoms come and go. You may notice it’s worse in the morning or during allergy season, or may get flare-ups when you stop cleaning your eyelids regularly.

Call an eye doctor if your symptoms worsen despite treatment, if you notice vision changes, or if your eyes become very red or painful.

Blepharitis in Children

Children can also get blepharitis, which often looks like repeated styes or crusty eyelids. Treatment is similar to adults: gentle warm compresses, lid cleaning with child-safe cleansers, and antibiotics if prescribed. Keep the routine fun and simple for kids. You might turn it into part of their bedtime routine.

Types of Blepharitis

We can recognize two main types of blepharitis. The difference is where the inflammation occurs. Many people have a mix of both types.

Anterior Blepharitis

Anterior blepharitis affects the outside front edge of the eyelid, where the eyelashes grow. It’s often caused by bacteria or skin conditions like seborrheic dermatitis.

Posterior Blepharitis

This type affects the inner edge of the eyelid, where the meibomian glands are located. Posterior blepharitis is often linked to meibomian gland dysfunction and may be more difficult to manage.

How is Blepharitis Diagnosed?

An eye doctor can diagnose blepharitis with a simple eye exam. They will:

• Ask about your symptoms and medical history

• Look closely at your eyelids and lashes using a slit lamp

• Check for signs of clogged glands, redness, or debris

• Sometimes, they may take a sample of eyelid crust to check for bacteria or mites

The eye exam is completely painless, and you don’t need complicated blepharitis tests. A trained eye doctor can spot the condition right away.

RELATED: What to Expect During an Eye Exam

Treatments for Blepharitis

There is no permanent cure for blepharitis. But don’t worry, it can be controlled with regular care. You need to clean your eyelids every day to keep symptoms away. Most people with blepharitis can live comfortably by building good eyelid hygiene habits. The key is consistency.

1. Warm Compresses

Place a clean, warm washcloth with boiled, cooled water over your closed eyes for 5–10 minutes. A clean microwaveable eye mask is also an option, just make sure it's NOT too hot. Repeat daily, especially before cleaning your eyelids. Such warm compresses will loosen crusts and open blocked glands.

2. Eyelid Cleaning

After a warm compress, gently clean the eyelid margin. Use a lid scrub or a pharmacy-grade eyelid cleanser with a cotton pad or a lint-free wipe. Clean along the lash line, removing crusts and oils. Avoid harsh rubbing. Blepharitis may return if you stop caring for your eyelids. Make it a habit, like brushing your teeth.

3. Artificial Tears

Use preservative-free artificial tears to soothe dry, irritated eyes from blepharitis. Artificial tear gels are also an option. These medications are safe for the eyes and will bring you the soothing you need.

4. Medical Treatments for Blepharitis

If your symptoms are severe or not improving, your doctor may recommend:

• Topical antibiotics (eye drops or ointments like erythromycin or azithromycin)

• Oral antibiotics (for rosacea-related blepharitis)

• Steroid drops (short-term use to reduce inflammation)

• Tea tree oil for eyes (for demodex-related blepharitis)

• Intense Pulsed Light (IPL) (for chronic posterior blepharitis)

Don’t try medications without talking to your eye doctor. Blepharitis treatments are most effective when tailored to your specific type and triggers.

Don’t suffer in silence. Blepharitis can be managed, and medical help makes a big difference.

RELATED: Types of Eye Drops

Blepharitis and Dry Eyes

Blepharitis often goes hand-in-hand with dry eyes. The clogged oil glands in the eyelids can’t release enough oil into your tears, so they evaporate too quickly. Dry eyes can make blepharitis symptoms feel worse. That’s why treatment often includes steps to manage both conditions.

What to Avoid with Blepharitis

Avoiding triggers is part of long-term blepharitis care. Blepharitis can flare up if you:

• Sleep with makeup on

• Use old or expired eye makeup

• Share towels or eye cosmetics

• Rub your eyes frequently

• Wear contact lenses during flare-ups

• Use facial cleansers that irritate your eyelids

x Sleep with makeup on

Leaving makeup on overnight clogs the tiny oil glands in your eyelids. It also traps bacteria and debris, making inflammation worse. Always remove all eye makeup gently before bed, even if you're tired.

x Use old or expired eye makeup

Old mascara, eyeliner, or eyeshadow harbors bacteria. Using old or expired makeup increases your risk of irritation and eyelid infection. With that in mind, replace your eye makeup every 3 months and never use products past their expiration date.

x Share towels or eye cosmetics

Sharing towels, brushes, or makeup spreads bacteria and other microbes. A simple bad habit like this can trigger or worsen blepharitis, especially if someone else has an eye infection. Keep your eye care items personal and clean.

x Rub your eyes

Rubbing your eyes irritates the eyelid margins and worsens inflammation. It also pushes debris deeper into the glands and lashes. The best tip is to NOT touch your eyes, especially with unwashed hands.

x Wear contact lenses during flare-ups

People with blepharitis may have trouble wearing contact lenses. The condition can cause irritation, dryness, and even reduce lens tolerance. The best thing you can do is switch to glasses during flare-ups.

x Use facial cleansers that irritate your eyelids

Some facial cleansers can worsen your blepharitis. Especially oil cleansers and those containing harsh ingredients and acids. Stick to gentle and hypoallergenic products and adopt good hygiene habits.

RELATED: Eye Infection from Makeup: Everything You Need to Know

Frequently Asked Questions (FAQ) About Blepharitis

We know you may have some questions about the condition. So we created this FAQ section.

Is Blepharitis Contagious?

No, Blepharitis is not contagious. You cannot catch it from someone else, even if they have symptoms like redness, flakes, or eye discomfort. It’s a condition linked to bacteria, skin issues, and gland dysfunction, not viruses or contagious infections.

How Long Does Blepharitis Last?

Blepharitis is often a chronic (long-term) condition. It doesn’t usually go away completely. However, there is no specific timeline on how long it takes to get the symptoms under control.

Can Blepharitis Cause Permanent Damage?

Blepharitis is uncomfortable, but most people don't experience serious complications. In rare cases, untreated blepharitis can lead to eyelash loss, changes in the eyelid margin, scarring, conjunctivitis, or keratitis (inflammation of the eye surface).

Will I Need Antibiotics Forever If I Have Blepharitis?

No. Antibiotics are sometimes prescribed for flare-ups or certain types of Blepharitis, but they’re not always needed long-term.

Can I Wear Makeup with Blepharitis?

Yes, but you must be careful. Choose hypoallergenic, fragrance-free products. Never share makeup, and remove all eye makeup before bed. If your blepharitis is flaring, avoid makeup until symptoms calm down.

Can Blepharitis Go Away on Its Own?

It’s unlikely. Most people with blepharitis need to clean their eyelids daily to prevent symptoms. Skipping your routine usually leads to flare-ups.

Can Blepharitis Affect My Vision?

Yes, but usually in a temporary way. Blurry vision from blepharitis is often due to unstable tear film or discharge. The vision tends to clear after blinking or using eye drops.

Is Blepharitis the Same as a Stye?

No, but they are related. Blepharitis increases the risk of styes. If you keep getting styes, it might be a sign of underlying blepharitis.

Myths and Misconceptions About Blepharitis

There's tons of eyecare misinformation out there. So, after we answered your questions, it's time to talk about the craziest misconceptions about blepharitis. Let's bust some myths!

Myth 1: Blepharitis is Caused by Poor Hygiene.

Truth: Blepharitis is not caused by being “dirty.” While cleaning your eyelids helps manage it, having blepharitis does not mean you’re unclean.

Myth 2: You Only Need to Treat Blepharitis When it Flares.

Truth: Blepharitis needs daily care. Even when symptoms improve. Think of it like brushing your teeth. Skipping your routine causes symptoms to return quickly.

Myth 3: Blepharitis is Just Dry Eyes.

Truth: While Blepharitis and dry eye syndrome are closely related, they are not the same. Blepharitis involves eyelid inflammation and blocked glands. Dry eye often occurs because of Blepharitis, but it has its causes and treatments.

Myth 4: You Can Cure Blepharitis with One Treatment.

Truth: Unfortunately, Blepharitis has no quick fix. No pill or drop makes it go away permanently. Long-term relief comes from routine eyelid care and managing triggers.

Myth 5: Antibiotics are Always the Answer.

Truth: Antibiotics can help in some cases of Blepharitis, not always.

Myth 6: You Should Stop Cleaning Your Eyelids if They Feel Irritated.

Truth: Mild irritation can happen as your eyes adjust to cleaning. Unless advised by your doctor, don’t stop. Use gentler products or reduce how often you clean, but don’t abandon your routine.

Myth 7: Blepharitis is rare.

Truth: Blepharitis is one of the most common eye conditions seen by eye doctors. Millions of people have it, even if they’ve never heard the name before.

Taking Care of Your Mental Health

Living with blepharitis can be draining. The constant need for cleaning, the discomfort, and flare-ups can affect your mood. You’re not alone and it’s okay to feel frustrated. Support groups and forums can help. Don’t be afraid to talk to your doctor about how eyelid inflammation affects your life. Remember, with the right routine, blepharitis gets easier to manage over time.

Don’t be discouraged if it takes time to find a routine that works best. Everyone’s eyes are different. What matters is building habits to support your long-term eye health.

Resources:

• Blepharitis, Patient Info

• What Is Blepharitis?, American Academy of Ophthalmology

✅ Medically reviewed by Atanas Bogoev, MD.

ABOUT THE AUTHORS

Maria Bogoeva is a medical writer with over 11 years of experience in copywriting and content strategy. She’s the founder of Ophthalmology24, where she leads the creation of clear, practical, and medically accurate content for ophthalmologists and patients. Her mission: make ophthalmology education more accessible and engaging worldwide.

Atanas Bogoev, M.D., FEBO is a consultant ophthalmologist, eye surgeon, and co-founder of Ophthalmology24. Atanas has trained internationally, attending courses at Harvard Medical School, Oftalmo University, and completing observerships such as the GAASS program in Toronto. He combines surgical experience with a passion for education, translating surgical best practices and clinical learning into accessible resources.