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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.

Contact Us

San Jose Office
455 O’Connor Dr
Suite 310
San Jose, CA 95128
Phone: (408) 294-3534
Fax: (408) 294-3214

Gilroy Office
9360 No Name Uno
Suite 210,
Gilroy, CA 95020
Phone: (408) 294-3534
Fax: (408) 294-3214

Call (408) 294-3534 for availability.

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