What Is Blepharitis?
Blepharitis is a common, long-term condition that causes inflammation of the eyelids, particularly along the edges where the eyelashes grow. It can affect one or both eyes and often comes and goes over time.
While blepharitis is not usually serious, it can be uncomfortable and may lead to ongoing irritation if not managed properly.
What Causes Blepharitis?
Blepharitis is commonly caused by:
- Overgrowth of normal skin bacteria on the eyelids
- Blocked or inflamed oil glands along the eyelid margins
- Skin conditions such as eczema, rosacea, or dandruff (seborrhoeic dermatitis)
- Allergic reactions or eye makeup irritation
What Are the Common Symptoms of Blepharitis?
You may notice:
- Red, swollen, or sore eyelid edges
- Itchy or burning eyes
- Crusting or flakes around the eyelashes, especially on waking
- Gritty or dry eye sensation
- Watery eyes or blurred vision that improves with blinking
- Loss or misdirection of eyelashes in long-standing cases
How Is Blepharitis Diagnosed?
Diagnosis is usually based on:
- Symptoms and duration
- Visual inspection of the eyelids and lashes
- Associated skin conditions
Online GP consultations can provide guidance and initial treatment advice. In-person assessment may be needed if symptoms are severe, persistent, or affecting vision.
How Long Does Blepharitis Last?
Blepharitis is often a chronic condition:
- Symptoms may improve within days to weeks with regular treatment
- Flare-ups are common and require ongoing lid care
- Long-term control rather than cure is the goal
Is Blepharitis Contagious?
No. Blepharitis is not contagious and cannot be passed from person to person.
How to Feel Better and Recover Quickly
Self-Care at Home:
- Apply warm compresses to the eyelids for 5–10 minutes daily
- Gently clean eyelid margins using diluted baby shampoo or lid-cleaning wipes
- Avoid eye makeup during flare-ups
- Wash hands before and after eye care
Treatment from a GP:
- Prescribed antibiotic or antibiotic–steroid eye ointments in selected cases
- Lubricating eye drops for dry eye symptoms
- Treatment of associated skin conditions such as rosacea
When Referral Is Needed:
- Symptoms not improving with regular lid hygiene
- Recurrent infections or eyelid complications
- Visual disturbance or corneal involvement
When to Seek Urgent Medical Help
Seek urgent medical attention in A&E or urgent care if:
- Significant eye pain or light sensitivity
- Sudden changes in vision
- Marked swelling, redness, or discharge suggesting infection
- Symptoms following eye injury
How Dr.Online UK Can Help
We offer:
- Same-day online GP appointments
- Assessment and advice for blepharitis
- Prescriptions if appropriate
- Ongoing management advice to prevent flare-ups
