.png)
Blepharitis

Risk Factors
Increasing age
Chronic eyelid or skin inflammation
Overgrowth of Demodex mites
Oily skin or seborrheic dermatitis
Rosacea
Meibomian gland dysfunction
Dry eye disease
Poor or inconsistent eyelid hygiene
Contact lens use
History of recurrent eye irritation or infections
Symptoms
Red, swollen eyelids
Itchy or irritated eyes
Burning or stinging sensation
Watery eyes
Gritty or sandy feeling (foreign body sensation)
Crusting or flakes at the base of the eyelashes
Greasy or oily appearance of the eyelids
Sensitivity to light (photophobia)
Blurred vision from tearing or discharge
Dry eyes or excessive tearing
Eyelids sticking together, especially upon waking
Loss of eyelashes or abnormal eyelash growth
Blepharitis management focuses on reducing eyelid inflammation, improving oil gland function, and treating underlying triggers such as bacterial buildup or Demodex mites. Because blepharitis is often chronic, treatment usually works best when it is part of a consistent routine.
Eyelid hygiene is the foundation of care. Warm compresses help loosen debris and soften oils in the glands. After warming, a gentle lid massage and cleaning along the lash line can reduce crusting and irritation. Symptoms often persist when compresses or lid cleaning are done only occasionally.
Depending on severity, additional treatments may be used. Lubricating drops and dry-eye management can improve comfort. Short courses of anti-inflammatory drops may help during flare-ups, and topical antibiotics may be used selectively in some cases.
Demodex mites are implicated in many cases, especially when itching and lash debris persist despite good hygiene. For patients who do not improve with routine care alone, prescription therapy targeting Demodex may be recommended for a defined course. Regular follow-up helps ensure symptoms stay controlled and treatment is adjusted as needed.