HomeHealth articlesitchy eyesWhat Is Blepharitis?

Burning Sensation, Redness or Itchiness In Eyes- It May be Blepharitis

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Burning Sensation, Redness or Itchiness In Eyes- It May be Blepharitis

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A burning sensation in the eyelid results from a condition called blepharitis and is very common. Read further to know more about this condition.

Medically reviewed by

Dr. Sneha Kannan

Published At November 3, 2013
Reviewed AtAugust 2, 2023


Blepharitis is a very common eye-lid disease affecting all and the sundry, but primarily affecting the children. In ophthalmic jargon, it is defined as the inflammation of eye-lids. It leads to following symptoms in varying combinations:

What Confirms the Diagnosis of Blepharitis?

Presence of the aforesaid symptoms with slit-lamp findings of inspissated meibomian gland, discharge, superficial punctuate keratitis and thickened, hyperaemic, crusting of eyelids and prominence of blood vessels at eyelid margin.

What to Do to Get Relief?

If one suffers from any of the aforementioned complaints, an ophthalmic consultation should be undertaken. Once the diagnosis is confirmed, following remedial measures are advocated:

  1. Hot fomentation (Example : Applying of hot moist towel) three to four times daily.
  2. Cleansing eye-lashes with sodium bicarbonate in lukewarm water at-least twice daily.
  3. Medical therapy to be followed is as follows:

Rx (possible medications):

    • Tab Doxycycline 100 mg once to twice daily for 7-14 days, depending upon the severity of the condition.
    • Eye ointment Nebracin to be massaged twice daily over eyelid margins. Alternately, erythromycin ointment or azithromycin could be used for seven to ten days.
    • Eye drops Refresh tears four to six times daily for seven to ten days.
    • Eye drops Cromyl forte 4 % thrice daily.

What More to Take Note Of?

If the condition does not resolve within 2 weeks, one MUST seek an urgent ophthalmic consultation to rule out pediculosis or a masquerading sebaceous carcinoma.

The thick and thin of this article is that blepharitis is a very common condition but it can be easily prevented and treated by maintaining a good ocular hygiene and taking proper medications.

So, crust it off and take care of your eyes and health in general.

Frequently Asked Questions


What Are the Causes of Blepharitis?

The various causes of blepharitis are:
- Clogged oil glands in your eyelids.
- Infection.
- Allergies.
- Dandruff of the eyebrows and scalp.
- Rosacea.
- Dry eyes.
- Eyelash lice.


Can Bacteria Cause Blepharitis?

Blepharitis is a bacterial infection. It can happen at the lower part of the eyelids. A certain amount of bacteria are generally found in the skin. If the number of these bacterias exceeds the normal limit, then it is a problem.


How Can Blepharitis Be Cured Quickly?

The fastest way to cure blepharitis is by giving a warm compress over the eyelids. When giving a warm compress, it is necessary to keep your eyes closed. You can also massage the eyelids for five to ten minutes. It is also essential to clean the eyes all the time.


Can Blepharitis Affect Only One Eye?

In most cases, blepharitis occurs in both eyes. Medical reports suggest that only a few patients have one eye affected with blepharitis. If it occurs in one eye also, it is necessary to get treated as it will lead to secondary infections.


How Long Does Blepharitis Take to Clear Up?

Generally, blepharitis can take up to five or six weeks to clear up. Using medications or eye drops can fasten the recovery process. The patient can also use tea tree oil scrub once a week. You can discuss with your doctor and get tips for clearing up blepharitis soon.


Does Blepharitis Get Worse in the Morning?

The patient with blepharitis undergoes a lot of changes in the eyelashes. They will experience watering, crusting, and photophobia. The pain and discomfort are felt more in the morning time than the night. It is worse in the morning due to the closing of eyelids for a longer period of time.


What Happens if Blepharitis Is Left Untreated?

Blepharitis does not get healed on its own. Only in a few rare cases, the bacterial infection can get cured by itself. Otherwise, blepharitis is a chronic condition, and medications are absolutely necessary. In severe cases, if blepharitis is left untreated, it can result in cancer of the eyelid.


Does the Usage of Mascara Make Blepharitis Worse?

Yes, mascara can make blepharitis worse. Mascara products can accumulate a lot of wax on the eyelids. For patients who have already been affected with blepharitis, any cosmetic products used in the eyes will increase the level of irritation and inflammation. In addition to this, there will be obstruction of the oil glands. So it is not advised to use mascara when you have blepharitis.


Is Blepharitis a Chronic Condition?

Yes, blepharitis is a chronic condition. The patient suffers severe discomfort and irritation with blepharitis. The symptoms might get worse in the morning. Medications should be given for reducing the inflammation and overcoming the bacterial infection. If it is not treated in the earlier stage, it might result in severe complications.


Will Saltwater Help in Curing Blepharitis?

Saltwater is a good home remedy for blepharitis. It is highly beneficial for eye infections. Salt is known to contain antimicrobial properties. Over the counter medications are also available to treat bacterial infections like blepharitis.


Does Vaseline Help in Curing Blepharitis?

Blepharitis should be treated depending on the cause for occurrence. If blepharitis is caused by mites or lice, then petroleum jelly products like Vaseline can be added to the base of the eyelashes to cure the condition. Lubrication of dry eyes should be provided with the help of artificial tear solutions.


Do Eye Drops Help With Blepharitis?

Yes, eye drops can help to cure blepharitis. Antibiotics that are prescribed by the doctor should be applied to the eyelids to get relief from the symptoms. Medications are also available in the form of ointments and creams. If topical applications of antibiotics are not helpful, then the doctor will prescribe appropriate antibiotic pills for oral consumption.


How Do You Treat Mites in the Eyelashes?

The best option for treating mites in the eyelashes is tea tree oil. An ingredient called terpinene is found in tea tree oil. It can help in fighting against mites in the eyelashes. Tea tree oil is often diluted as per the recommendation of the doctor before usage.


What Are the Complications of Blepharitis?

The complications of blepharitis are:
- Dry eyes.
- Injury to the cornea.
- Formation of the sty.
- Scarring in the eyes.
- Falling out of the eyelashes.
- Chalazion.
- Pink eye.
Dr. Abhishek Onkar
Dr. Abhishek Onkar

Ophthalmology (Eye Care)


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