Blepharitis is an eyelid inflammation that causes red, inflamed, itchy eyelids as well as the production of dandruff-like scales on the eyelashes. Affecting people of various ages, it is a common eye condition with several causes. Despite being painful, bothersome, or even unsightly, blepharitis is not contagious and does not cause chronic vision loss. The skin issue is tough to control and recurs often. Granulated eyelids are another term for blepharitis. Normally, blepharitis affects patients in both eyes..


Types of Blepharitis

There are two types of Blepharitis:

  • Anterior blepharitis
  • Posterior blepharitis

Symptoms of Blepharitis

The signs and symptoms of blepharitis are often worse in the morning. They are as follows:

  • Watery eyes
  • Flaking of the skin around the eyes
  • Red eyes
  • Eyelids that appear greasy
  • A burning or stinging sensation in the eyes
  • Itchy eyelids
  • Crusted eyelashes
  • Red, swollen eyelids
  • Blurred vision that usually improves with blinking
  • More frequent blinking
  • Sensitivity to light
  • Eyelid sticking

When to see a doctor?

One should see a doctor if

  • Increased pain and/or swelling
  • Worsening of vision
  • The eyelids become hot to the touch.
  • There is blistering and/or rash on the eyelids
  • If the condition doesn't really improve, even after a week of self-care
  • The lesions (lump or growth) on the eyelids are not responding to warm compress.


The exact cause of blepharitis is unknown. It appears to be caused by an abnormality in the oil-producing glands of the eyelids. These oil-producing glands are known as meibomian glands, hence this condition is also known as meibomitis. Harmful bacterias in and around these glands may play a role in this condition. Blepharitis appears to be more frequent in those with oily skin, dandruff, and dry eyes and is extremely common in rosacea patients.

Risk factors

A risk factor is something that increases the chance of developing a disease or condition. Blepharitis risk factors include

  • Seborrheic dermatitis
  • Acne rosacea
  • Contact allergies
  • Diabetes
  • Chemical irritants
  • Poor hygiene
  • Cosmetic makeup


Blepharitis inflammation can result in complications such as:

Eyelid skin problems

As a result of long-term blepharitis, one may observe scarring on the eyelids. Additionally, the edges of your eyelid may turn inwards or outwards.

Eyelash problems

Blepharitis can cause the eyelashes to fall off, grow abnormally (misdirected eyelashes), or even lose their colour.

Excess tearing or dry eyes

Abnormal oil secretions and other debris shed from the eyelids, such as flaking associated with dandruff, can build up in water, oil, and mucus solutions forming tears.

Abnormal tears

Blocking eyelashes from becoming moist, this condition may irritate the eyes and induce dryness or excessive tears.


Stye is an infection that forms around the base of the eyelashes. As a result, one can have a stinging bump on the border of the eyelid


A chalazion occurs when one of the tiny oil glands at the edge of the eyelid, right beneath the eyelashes, get clogged. This blockage promotes inflammation of the gland, causing the eyelids to enlarge and redden. This may go away or turn into a firm, non-tender lump.

Chronic pink eye

Blepharitis can cause recurring symptoms of pink eye commonly known as conjunctivitis.

Injury to the cornea

Persistent discomfort from inflamed eyelids or misdirected eyelashes may cause sore corneas. A corneal infection might be exacerbated by lack of tears.


Inflammation of the eyelids can be painful, unpleasant, and unattractive. However, this condition is often not preventable, but there are steps people may undertake to reduce the risk of inflammation.

  • Make sure to wash your face on a regular basis. This involves taking off both eye and face makeup before sleeping.
  • Don't rub irritated eyelids or contact the eyes with dirty hands.
  • Rubbing of eyes may spread the infection. Check eyelids if you notice any discomfort, redness, or swelling.
  • Controlling dandruff also helps in the reduction of irritation. One should consult the doctor if they have severe dandruff and might need to use a prescription shampoo.


A thorough eye examination can be used to detect blepharitis. Tests might include a complete focus on the eyelids and the front surface of the eyeball.

  • Patient history is taken to determine the further treatment course as well as to seek any signs of general health problems that have resulted in this eye condition.
  • Using bright light and magnification, your doctor will examine the lid margins, the base of the eyelashes, and the meibomian gland apertures.
  • External inspection of the eye, including lid structure, skin texture, and the appearance of the eyelashes.
  • Examination of the quantity and quality of tears for any anomalies.


Blepharitis treatment should begin with a visit to the eye specialist to determine the cause of the eyelid irritation. The doctor will check the eyes and eyelids to determine if the patient has blepharitis and which type of blepharitis treatment is best for them. Blepharitis therapy often consists of::

Eyelid scrubs:

Scrubbing the eyelids gently eliminates the accumulation of biofilm and extra germs from the lid edges. A regular regimen of warm compresses and lid scrubbing is often recommended by the doctor to clean the eyelids and reduce the number of bacteria and demodex mites. Prescription eyelid cleansers, non-prescription eyelid cleansing pads, or diluted baby shampoos can all be used as cleaning agents.

In-office procedures:

While home eyelid scrubbing is often beneficial, in-office eyelid hygiene procedures are frequently advised for more successful blepharitis therapy. Few possible procedures are:

Electromechanical lid margin debridement

This helps remove germs, biofilm, and demodex mites from the eyelids while also opening congested meibomian glands.

Thermal pulsation therapy

This uses a device that melts and expresses obstructive material in the meibomian glands.

IPL treatment

This helps unblock congested eyelid glands and restores the natural flow of oils into the tear film.

Medicated eye drops and/or ointments:

The eye doctor may also prescribe topical medications to kill extra blepharitis-causing bacteria or other microorganisms on the eyelids. This is especially done if the patient has pink eye or another type of eye infection in addition to blepharitis.

Lifestyle Changes and Selfcare

Self-care measures might be the only treatment needed for most cases of blepharitis.

  • Application of warm, wet compresses on a regular basis
  • Using baby shampoo and a damp cotton ball to clean the eyelids
  • Maintaining proper facial and scalp hygiene, including the use of antidandruff shampoo if necessary
  • Making sure to remove all makeup every day
  • Avoiding any irritants that might lead to blepharitis
  • Maintaining control over any underlying conditions (eg, diabetes and acne rosacea)

Do’s and Don’ts

Although blepharitis cannot be completely cured, there are certain home treatment options that can help soothe inflamed eyelids, ease symptoms, and perhaps lessen the frequency of flares experienced by patients. The best blepharitis treatment does not depend on expensive pills or technology, but rather on good old-fashioned cleansing. Following these dos and don'ts will help in the management of this condition.

Use a wet and warm cloth to wipe your eyesUse soap and shampoo until the condition subsides
Take medicines regularlySmoke cigarettes
Drink lots of waterUse waterproof eye makeup
Take prescription eye dropsEat unhealthy foods
Avoid powder and glitter-based eye shadowsTake too many preservative-free eye drops

Taking care of yourself and building a healthy immune system can help you fight this condition.

Blepharitis Care at Medicover

At Medicover Hospitals, we have the most experienced team of doctors and medical experts delivering exceptional healthcare services to patients. Our diagnostic department, with its cutting-edge technology and equipments perform the necessary tests for the diagnosis of Blepharitis, that further helps our experts create a unique treatment plan especially for you. We have an experienced team of ophthalmologists that use a multidisciplinary approach to diagnose and treat this condition with extreme precision, resulting in successful outcomes.

Make an appointment just in few minutes - Call Us Now

Frequently Asked Questions

1. What is blepharitis?

Blepharitis is a common and chronic eye condition characterized by inflammation of the eyelids. It typically affects the area where the eyelashes grow and can lead to discomfort, redness, and irritation.

2. What are the common symptoms of blepharitis?

Common symptoms of blepharitis include itching, burning sensation, red or swollen eyelids, crusty or greasy eyelashes, watery or dry eyes, sensitivity to light, and a feeling of having a foreign body in the eye.

3. What causes blepharitis?

Blepharitis can have various causes, including bacterial infections, blockage of oil glands in the eyelids, allergies, and underlying skin conditions like rosacea. Poor eyelid hygiene, makeup residue, and contact lens wear can also contribute to its development.

4. Is blepharitis contagious?

No, blepharitis is not contagious. It's an inflammatory condition that primarily affects the eyelids and is not caused by a virus or bacteria that can be passed from person to person.

5. How is blepharitis diagnosed?

A comprehensive eye examination by an ophthalmologist or optometrist is essential for diagnosing blepharitis. The doctor will examine your eyelids, eyelashes, and tear film and may also take samples to determine the underlying cause.

6. Can I treat blepharitis at home?

Mild cases of blepharitis can often be managed at home. Warm compresses, gentle eyelid cleansing with a mild soap or prescribed cleanser, and careful removal of crusts can help alleviate symptoms. However, it's recommended to consult an eye care professional for proper guidance.

7. Are there medical treatments available for blepharitis?

Yes, there are medical treatments available. Depending on the underlying cause and severity of blepharitis, your doctor may prescribe antibiotics (topical or oral), corticosteroids, artificial tears, or recommend eyelid hygiene products to control inflammation and manage symptoms.

8. Can blepharitis lead to complications?

If left untreated, blepharitis can potentially lead to complications such as meibomian gland dysfunction, dry eye syndrome, chalazion (eyelid cyst), corneal inflammation, and even changes in eyelash growth patterns. Early intervention and proper management can help prevent these complications.

9. Can lifestyle changes help manage blepharitis?

Yes, adopting certain lifestyle changes can help manage blepharitis. Maintaining good eyelid hygiene, avoiding eye makeup during flare-ups, using hypoallergenic cosmetics, and protecting your eyes from environmental irritants can contribute to symptom relief.

10. Is blepharitis a curable condition?

While blepharitis is a chronic condition, With the proper care and medication, it may be properly treated. Most people experience periodic flare-ups, but consistent management can significantly reduce symptoms and improve eye comfort.

11. When should I see a doctor for blepharitis?

If you experience persistent eye irritation, redness, discomfort, or changes in vision, it's advisable to consult an eye care professional. Early diagnosis and proper management may reduce the chance of complications and stop the problem from getting worse.

12. Can I wear contact lenses if I have blepharitis?

If you have blepharitis, wearing contact lenses can be challenging. Your eye care provider can offer guidance on whether it's safe for you to wear contacts during flare-ups. It's important to maintain excellent hygiene practices and follow their recommendations closely.