Blepharitis, medically known as inflammation of the eyelid margin, is a common condition occurring at the base of the eyelashes on the eyelid. The inflammation is characterized by swelling, redness, and itching at the edges of the eyelids. Blepharitis can result from bacterial infections or the blockage of skin oil glands. It may also be caused by skin diseases. If left untreated, eyelash root inflammation can lead to eye health issues.

What is Blepharitis?

Blepharitis refers to the inflammation of the eyelid margin, often presenting with symptoms such as redness, swelling, edema, itching, pricking, and burning sensations. Flaking and crusting may also occur at the base of the eyelashes. 

Eyelash root inflammation is a common eye condition, especially among individuals with oily skin types, those experiencing dandruff issues, and those with rosacea.

What are the Types of Blepharitis?

Blepharitis can be an acute condition that starts suddenly and is short-lived, but in most cases, it is chronic. The inflammation can manifest as anterior blepharitis or posterior blepharitis.

  • Anterior Blepharitis: This occurs on the outside near the base of the eyelashes. It can be caused by bacterial infections or skin diseases.

  • Posterior Blepharitis: This may develop due to the blockage of the meibomian glands located inside the eyelid.

What Causes Eyelash Root Inflammation?

Inflammation of the eyelid margin can occur due to various factors. A common cause includes the blockage of oil glands at the base of the eyelashes. Secretions from the Meibomian glands can accumulate over time, leading to inflammation and triggering blepharitis. 

Bacterial infections play a significant role in the development of blepharitis. Staphylococcus bacteria are responsible for a large portion of blepharitis cases and pose a serious threat to eye health.

The Demodex mite is another rare but impactful cause of blepharitis. These microscopic mites living at the base of the eyelashes can cause irritation and inflammation, triggering blepharitis. 

Individuals with seborrheic dermatitis, a skin condition, are also more likely to develop blepharitis. Individuals with oily skin are at a higher risk of developing this condition, and symptoms may become more pronounced. Therefore, using skincare products suitable for one's skin type is important.

Cosmetic residues can also contribute to the occurrence of blepharitis. Insufficient eyelid hygiene can facilitate the growth of microorganisms, thereby triggering blepharitis.

What are the Symptoms of Blepharitis?

Symptoms of blepharitis may vary periodically. Common complaints include:

  • Redness appearing at the edge of the eyelid

  • Edema formation around the eye due to inflammation

  • Crusting and flaking at the base of the eyelashes

  • Persistent itching and burning sensation

  • Increase in eye discharge

  • Eyelash loss or irregular growth of eyelashes

  • Blurred vision and sensitivity to light

How is Eyelid Inflammation Treated?

Eyelid inflammation, or blepharitis, is a condition that requires long-term care. The treatment process can be planned according to the symptoms of inflammation, its cause, and the individual's overall eye health. 

Eyelid Hygiene and Cleaning

A crucial step in treatment is regular cleaning. The eyelid edges should be gently cleaned once or twice a day with sterile wipes or eyelid cleaning solutions recommended by a doctor. 

Application of Warm Compress

Warm compresses help open the oil glands in the eyelids. A clean cloth can be moistened with warm water and placed over the closed eyelid for 5–10 minutes. Following the compress, gentle massage of the eyelid edge can assist in releasing blocked secretions.

Medication Therapy

If the inflammation has progressed or there is a bacterial infection, antibiotic eye drops or ointments prescribed by a specialist may be used. 

Use of Artificial Tears

Eyelid inflammation frequently leads to dry eyes. To reduce burning and stinging sensations, artificial tear drops may be recommended.

Treatment for eyelid inflammation should be tailored to the individual. Therefore, if at-home methods are insufficient or symptoms are severe, consulting an eye specialist is important.

Methods of Preventing Eyelash Root Inflammation

Most cases of blepharitis are not completely preventable. Certain skin types, chronic skin conditions, and structural differences in the eyelids can increase the risk of inflammation development. Although controlling these conditions is not always possible, several preventative measures can be applied in daily life to reduce risk:

  • Regular cleaning of hands and face: Hands should be washed frequently during the day, avoiding touching the eye area with dirty hands.

  • Hygiene of eyelids: Gentle cleaning with products recommended by a doctor or with warm water can help remove accumulated oils and residues at the base of the eyelashes.

  • Removal of makeup: Removing eye makeup before bed prevents the buildup of residues at the eyelid edges.

  • Taking a break from contact lens use: During active inflammation symptoms, opting for glasses instead of contact lenses can reduce irritation.

  • Maintaining hair and skin care: Using dandruff-preventive shampoos or those suitable for sensitive skin can prevent microbial transfer from hair roots to the eyelids.

  • Avoiding rubbing the eyes in case of itching: Constantly rubbing the eyelid can lead to irritation and an increased risk of inflammation.

  • Paying attention to the hygiene of cosmetic products: Regularly renewing mascara, eyeliner, and similar products and avoiding shared use is recommended.

Frequently Asked Questions

Is Blepharitis Contagious?

Blepharitis itself is not contagious. However, if bacterial infections accompany blepharitis, the risk of infection spreading to others increases if hygiene standards are not maintained. Personal use of towels, pillowcases, and makeup materials is recommended.

Does Blepharitis Cause Eyelash Loss?

Yes, prolonged inflammation can weaken the eyelash roots, leading to loss. Crusting, chronic irritation, and follicular damage at the base of the eyelashes can gradually cause permanent eyelash loss. 

How Long Does Blepharitis Treatment Last?

The treatment duration can vary based on the severity of the disease, its cause, and the patient's overall eye health. In most blepharitis cases, symptoms can be controlled within a few weeks with regular cleaning and medication therapy. However, as blepharitis can frequently recur, long-term care and maintaining eyelid hygiene as a habit is recommended.

How is Blepharitis Cured, Can It Be Treated at Home?

Regular eyelid cleaning and the application of warm compresses are fundamental methods that can be applied at home for blepharitis treatment. These measures help alleviate symptoms, but for lasting recovery and prevention of complications, it is essential to be evaluated by an eye doctor.

Creation Date : 17.07.2025
Update Date : 18.07.2025
Author : Yeliz YİĞİT
Communication : +905303120237
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