- Seborrheic blepharitis—Skin cells shed more rapidly than normal due to a sebaceous gland that is not functioning properly. The sebaceous gland secretes oil to the skin. The presence of excess oil and skin cells help bacteria grow.
- Infectious blepharitis—Bacteria, in particular, staphylococcus, cause an infection in the glands along the eyelid.
- Contact dermatitis blepharitis—Something coming in contact with the eyelid leads to local inflammation. For example, mascara may produce such an allergic reaction.
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- Seborrheic dermatitis
- Acne rosacea
- Contact allergies
- Chemical irritants
- Poor hygiene
- Cosmetic makeup
- Advanced age
- Redness, flaky skin, and oily secretions along the edge of the eyelid
- Crusty material clinging to the eyelashes
- Eyelids “glued together” in the morning
- Dry scales or dandruff-type material on the scalp and eyebrows
- Itching or burning sensation
- Light sensitivity
- Sensation of a foreign object in the eye
- Ulcers or sores at the base of the eyelashes (in severe cases)
- Scant, broken eyelashes
- Nonpainful bumps in the eyelid—chalazion, which may become infected (stye)
- Irritation or infection of issue that covers the eye and lines the inner surface of the eyelid—conjunctivitis (pink eye)
- Antibiotic eye ointment
- Oral antibiotics (rarely, for recurrent infection or if the ointment fails to work)
- Topical corticosteroids may be needed for severe inflammation and complications
- Always wash your hands before touching your eyelids
- Do not share eye makeup
- Wash your hair and face daily
Eye Smart—American Ophthalmology http://www.geteyesmart.org
National Eye Institute (NEI) http://www.nei.nih.gov
Canadian Ophthalmological Society http://www.cos-sco.ca
The Canadian National Institute for the Blind http://www.cnib.ca
Blepharitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 3, 2013. Accessed June 30, 2013.
Carter SR. Eyelid disorders: Diagnosis and management. Am Fam Physician 1998;57(11):2695-2702.
Cecil RL, Goldman L, Bennett J. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Company; 2000.
Dambro MR. Griffith's 5-Minute Clinical Consult. 2001 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2001.
Goroll AH, Mulley AG. Goroll: Primary Care Medicine. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2000.
Mandell GL, Douglas RG, Bennett JE, Dolin R. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 5th ed. Philadelphia, PA:Churchill Livingstone, Inc.; 2000.
- Reviewer: Michael Woods, MD
- Review Date: 10/2014 -
- Update Date: 03/15/2013 -