Eyelid inflammation is a condition that occurs along the edges of the eyelids and causes discomfort both cosmetically and medically. Medically known as blepharitis, this condition develops due to blockage of the oil glands located at the base of the eyelashes, bacterial overgrowth, or certain skin diseases. It commonly presents with symptoms such as crusting at the lash line upon waking, itching, burning and redness. Since it is a widespread condition today, if left untreated it may become chronic and seriously reduce a person’s quality of life.
Op. Dr. Diclehan states that eyelid inflammation is not only an eye disorder on its own, but is also closely related to a person’s general health condition. He emphasizes that it is more common in people with weak immune systems, poor hygiene habits, or those who use cosmetic products for long periods. Therefore, blepharitis is considered not only a local problem, but also a condition associated with general lifestyle factors.
One of the most important causes of blepharitis is bacterial infection. Especially staphylococcal bacteria multiply along the eyelid margins and cause inflammation. These bacteria lead to flaking, crusting and irritation around the eyelashes. Patients with bacterial blepharitis usually present with burning, redness and persistent tearing. Op. Dr. Diclehan highlights that early diagnosis is critical because untreated infection may spread to other parts of the eye.
There are oil glands called meibomian glands located along the eyelid margins. Their role is to prevent the tear film from evaporating and protect the eye surface. When these glands become blocked, their function is impaired, resulting in imbalance of the tear film and development of blepharitis. This condition is more common in people who spend long hours in front of screens, blink less frequently or use contact lenses. Op. Dr. Diclehan emphasizes the importance of regular warm compresses and eyelid massage to maintain healthy gland function.
Chronic skin conditions such as seborrheic dermatitis, rosacea and eczema also play a role in the development of eyelid inflammation. These disorders disrupt the oil balance of the skin and weaken the eyelids’ defense mechanisms. Blepharitis is particularly common in patients with rosacea and may take longer to treat. Op. Dr. Diclehan notes that the effect of skin diseases on eye health is often overlooked, even though they may directly affect the eyelids.
Cosmetic products, makeup, contact lens solutions or environmental allergens may also trigger inflammation. Allergic reactions cause redness, itching and swelling of the eyelids. This problem is especially common in women due to improper use of cosmetics. Op. Dr. Diclehan recommends paying close attention to product ingredients and choosing hypoallergenic products whenever possible.
Blepharitis can present with a wide range of symptoms, which may vary from person to person. The most common symptoms include
These symptoms are often more severe in the morning and may worsen as the eyes become tired during the day. Op. Dr. Diclehan warns that if blepharitis becomes chronic, visual quality may deteriorate and therefore symptoms should not be ignored.
Blepharitis is usually diagnosed through a detailed eye examination. Using a device called a slit-lamp (biomicroscope), the ophthalmologist examines the eyelids, lash roots and tear film. In some cases, a sample may be taken to determine whether the cause is bacterial, fungal or parasitic. Meibography may also be performed to visualize the oil glands. Op. Dr. Diclehan stresses that correct diagnosis is essential since treatment varies according to the underlying cause.
Treatment may include antibiotic eye drops, ointments or oral medication. In allergic cases, antihistamines are used. Depending on the severity of inflammation, steroid eye drops may be prescribed for short-term use.
Daily eyelid hygiene is the cornerstone of treatment. Gently cleaning the eyelid margins with warm water or special eyelid cleansing solutions is recommended.
Warm compresses help unblock the oil glands. Gentle massage after compresses supports oil secretion.
To relieve dryness, artificial tears should be used regularly.
Op. Dr. Diclehan emphasizes that treatment requires patience and consistency, especially in maintaining eyelid hygiene.
There are simple but effective supportive methods that can be applied at home. In addition to warm compresses, chamomile tea compresses may provide relief. A balanced diet, adequate hydration and resting the eyes also support treatment. Consuming foods rich in omega-3 fatty acids contributes to eye health.
Blepharitis can also occur in children, usually due to poor hygiene or weak immunity. Since children frequently rub their eyes, the risk of infection is higher. Parents should pay special attention to hand and face hygiene. Op. Dr. Diclehan underlines the importance of early detection in children, as visual development continues during childhood.
Blepharitis tends to recur, so prevention is extremely important. Hands should be washed frequently and the eyes should not be touched with dirty hands. Makeup products should not be shared and must be removed thoroughly. Contact lens users should strictly follow cleaning and usage guidelines. Regular eye examinations also help detect problems early.
Op. Dr. Diclehan stresses that hygiene is the most fundamental prevention factor — especially for women who should always clean the eye area after removing makeup.
If left untreated, eyelid inflammation can become chronic and cause permanent eye surface problems. Tear film imbalance may reduce visual quality. Recurrent infections may also lead to styes or chalazion formation. In advanced cases, eyelash loss and permanent cosmetic changes may occur.
Op. Dr. Diclehan reminds patients not to discontinue treatment prematurely, as adherence is key to preventing complications.
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