Blepharitis (Eyelid Inflammation)

Blepharitis is a common condition that causes inflammation along the edges of the eyelids, often leading to redness, itching, irritation, and crusting around the eyelashes. Although it can be uncomfortable and sometimes persistent, proper eyelid care and treatment can help relieve symptoms and prevent recurring flare-ups.

At NP Healthcare Group, our experienced healthcare providers offer personalized evaluations and treatment recommendations to help you manage blepharitis and maintain healthy, comfortable eyes.

What is blepharitis?

Blepharitis is an inflammatory condition affecting the edges of the eyelids, particularly around the eyelashes. It can affect one or both eyes and may cause ongoing irritation.

Common symptoms include:

• Red or swollen eyelids
• Itching or burning sensations
• Crusting or flaking around the eyelashes
• Watery or irritated eyes
• A gritty sensation, as though something is in the eye
• Eyelids that stick together upon waking
• Increased sensitivity to light

Symptoms may come and go, and some patients experience recurring flare-ups.

What causes blepharitis?

Blepharitis can develop for several reasons, including:

• Excessive bacterial growth along the eyelid margins
• Blocked or poorly functioning eyelid oil glands
• Seborrheic dermatitis (dandruff)
• Rosacea
• Skin sensitivity or inflammation
• Demodex mites affecting the eyelashes

Identifying contributing factors helps determine the most appropriate treatment.

Is blepharitis contagious?

Blepharitis itself is generally not contagious. However, bacteria may contribute to inflammation, so maintaining good eyelid hygiene and avoiding shared eye makeup or towels is recommended.

How is blepharitis treated?

Treatment focuses on reducing inflammation, improving eyelid hygiene, and managing underlying causes.

Depending on your symptoms, your provider may recommend:

• Warm compresses to loosen crusting and improve oil gland function
• Gentle daily eyelid cleansing
• Artificial tears to relieve dryness and irritation
• Prescription antibiotic ointment when clinically appropriate
• Treatment of associated skin conditions such as rosacea or seborrheic dermatitis

Blepharitis often requires consistent eyelid care to prevent symptoms from returning.

Can blepharitis go away on its own?

Mild symptoms may improve with regular eyelid hygiene. However, blepharitis is frequently a recurring condition, and consistent care may be necessary to keep inflammation under control.

Can I wear contact lenses or eye makeup with blepharitis?

It is generally best to avoid contact lenses and eye makeup during active flare-ups, especially when your eyes are red, irritated, or producing discharge.

Contact lenses may be resumed once symptoms have resolved and your provider determines it is appropriate. Replace potentially contaminated eye makeup to reduce further irritation.

Can blepharitis be treated through telehealth?

Yes. Many uncomplicated cases of blepharitis can be initially evaluated through telehealth. Your provider can review your symptoms, examine photographs of your eyelids, and recommend appropriate treatment.

Some cases require an in-person eye examination to confirm the diagnosis or rule out other conditions.

When should I seek medical attention?

Schedule an evaluation if you experience persistent eyelid redness, itching, crusting, or irritation that does not improve with routine eyelid care.

• Seek urgent in-person medical attention if you develop:
• Eye pain rather than mild eyelid irritation
• Sudden or significant changes in vision
• Significant sensitivity to light
• Marked swelling or redness spreading around the eye
• Fever accompanied by swelling around the eye

These symptoms may indicate a more serious eye condition requiring prompt assessment.