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Inflamed eyelid (blepharitis)

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Last updated June 11, 2022

Inflamed eyelid (blepharitis) quiz

Take a quiz to find out what's causing your inflamed eyelid (blepharitis).

Inflamed eyelid (blepharitis) quiz

Take a quiz to find out what's causing your inflamed eyelid (blepharitis).

Take inflamed eyelid (blepharitis) quiz

What is an inflamed eyelid?

Blepharitis is an inflammation of the skin at the base of the eyelashes.

The oil glands around the eyelashes protect the surface of your eye from irritants, but if they become inflamed or clogged it can lead to discharge.

Normal bacteria can multiply and cause an infection when oil glands become blocked due to mucus; dirt; not removing all eye makeup; dandruff of the scalp and eyebrows; allergies to eye makeup or contact lens solution; debris from the environment.

Symptoms

If your symptoms do not clear up with self-treatment, see a medical provider. Blepharitis can become chronic and lead to infections of the eyelids and cornea; dry eyes that cannot wear contact lenses; and scarring and deformity of the eyelids.

Diagnosis is made through a physical examination of the eyelids, under magnification, and with a skin swab of the eyelashes.

Treatment

Treatment usually focuses on keeping the lids clean so they do not become clogged.

  • Apply warm compresses (run a washcloth under hot water and place over closed eyes for 5 to 10 minutes).
  • Gently use an eyelid scrub like OcuSoft lid scrub.
  • Gently clean your eyelids with a drop of baby shampoo diluted with water. Apply with your fingertip and rinse with a few splashes of water.
  • Keep eyes moist with OTC artificial tears.
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Dr. Rothschild has been a faculty member at Brigham and Women’s Hospital where he is an Associate Professor of Medicine at Harvard Medical School. He currently practices as a hospitalist at Newton Wellesley Hospital. In 1978, Dr. Rothschild received his MD at the Medical College of Wisconsin and trained in internal medicine followed by a fellowship in critical care medicine. He also received an MP...
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