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Blepharitis

Blepharitis is inflammation of the edges of the eyelids. It is common, can be long term, and often comes and goes.

Common symptoms

  • Red, swollen or itchy eyelid edges
  • Crusting or flaking at the base of the lashes, often worse in the morning
  • Sticky or gritty eyes
  • Burning or watery eyes
  • Recurrent styes

Why it happens

Blepharitis is often linked to blocked oil glands along the eyelid margin, skin conditions such as rosacea or seborrhoeic dermatitis, and bacteria on the lid margin. It commonly occurs together with dry eye.

Care and treatment

Daily eyelid care is the foundation of treatment: holding a warm compress on closed eyelids to soften crusts, then gently cleaning the lid margin. Care usually needs to continue long term to keep symptoms controlled. If symptoms persist, further treatment can be considered after assessment.

Assessment

Dr Ratu performs eye health assessments including slit-lamp examination and can advise whether further treatment or referral is appropriate.

When to seek urgent help

Seek same-day help for sudden vision changes, severe eye pain, a very red eye, sensitivity to light, or swelling of the eyelid with fever or feeling unwell. Use NHS 111, your GP or A&E.

How Dr Ratu can help

Dr Guy Ratu is a GP with Extended Role (GPwER) in Ophthalmology. Use the Contact Us page or the Contact us button to send an enquiry. Please do not send sensitive medical details by WhatsApp.

Read more about Ophthalmology with Dr Ratu.

Frequently asked questions

Is blepharitis contagious?

No. Blepharitis is not contagious.

Will blepharitis go away completely?

It is often a long-term condition that flares and settles. Regular eyelid care helps keep it under control.

Does blepharitis affect vision?

It usually does not damage vision, but it can cause temporary blurring and discomfort and can lead to other eye surface problems, so persistent symptoms should be checked.

This page gives general information only and is not a substitute for medical advice. If you are worried about your health, please arrange an assessment. In an emergency call 999.