Blepharitis
Blepharitis is a common condition that causes inflammation of the eyelids. It can affect people of all ages but is more common in older adults. While it is rarely serious, early advice and regular eye examinations can help manage symptoms and prevent complications.
What is Blepharitis?
Blepharitis is inflammation of the eyelids, which can make the eyelids and eyelashes red, crusty and itchy. It may also cause stinging or burning sensations and in some cases eyelashes can fall out.
Although blepharitis is a long-term condition and can be uncomfortable, it rarely causes serious damage to your eyes. It usually affects both eyes and can return even after treatment.
Why do I get blepharitis?
Blepharitis can be caused by an infection affecting the front edge of the eyelids (anterior blepharitis). It can also affect the meibomian glands, which produce part of your tears — this is known as posterior blepharitis.
In some cases, blepharitis is linked to skin conditions such as seborrhoeic dermatitis, which can cause flaky or inflamed skin.
Who is at risk of getting blepharitis?
Anyone can develop blepharitis, but it is more common in people over the age of 50. As we get older, the tears contain fewer lubricating components, which can lead to dry or gritty eyes and increase the likelihood of eyelid inflammation.
What happens if I have blepharitis?
Blepharitis is a chronic condition, meaning it cannot usually be completely cured. However, symptoms can often be managed with regular eyelid care and treatment:
- Using warm compresses to loosen crusts on eyelids
- Gently cleaning the eyelids with a diluted baby shampoo or bicarbonate of soda
- Using ready-made eyelid cleansing products if recommended
- Applying lubricating eye drops or gels to soothe discomfort
- Avoiding eye make-up during flare-ups
In some cases, oral antibiotics may be prescribed for a period of time. This should always be discussed with a specialist or optometrist before starting treatment.
Why regular eye examinations matter
Many eye conditions develop gradually and without pain. Regular eye examinations allow optometrists to detect and monitor issues early, including conditions affecting the eyelids and tear film.
For patients who are unable to visit an optician unaccompanied, NHS-funded home eye tests may be available, subject to eligibility.