Blepharitis: Eyelid Inflammation and How to Treat It
- The Straits Eye Centre
- Sep 19
- 3 min read
Introduction: The Common Yet Chronic Eyelid Condition
If your eyelids often feel itchy, red, or irritated, you may be experiencing blepharitis, a chronic condition that affects the eyelid margins. Though not sight-threatening in most cases, blepharitis can be uncomfortable, unsightly, and recurrent. It can also contribute to dry eye disease or complicate other eye conditions if left unmanaged.
In Singapore’s humid climate, blepharitis is a frequent complaint among patients seen at eye clinics. Fortunately, with consistent care and specialist guidance, symptoms can be controlled and quality of life improved.
What Is Blepharitis?
Blepharitis is inflammation of the eyelid margins, often involving the oil glands at the base of the eyelashes. It can affect one or both eyes and may be acute or chronic.
Types of Blepharitis:
Anterior blepharitis: Affects the skin and eyelashes at the front of the eyelid.
Posterior blepharitis: Affects the inner eyelid and meibomian glands, closely linked with dry eyes.
Mixed blepharitis: Combination of both.
Causes and Risk Factors
Bacterial infection (commonly Staphylococcus).
Seborrheic dermatitis (dandruff of the scalp and eyebrows).
Rosacea (skin condition causing facial redness).
Meibomian gland dysfunction (MGD).
Allergic reactions (to eye makeup, contact lenses, or solutions).
Poor eyelid hygiene.
Symptoms of Blepharitis
Red, swollen eyelids.
Crusts or flakes around eyelashes.
Burning or stinging sensation.
Itchiness.
Gritty or foreign body sensation in the eyes.
Watery eyes or, conversely, dry eye symptoms.
Light sensitivity in severe cases.
Complications if Left Untreated
Chronic dry eyes.
Styes and chalazia (blocked oil glands).
Keratitis (inflammation of the cornea).
Permanent changes to eyelid margins in long-standing cases.
Diagnosis in Singapore
An eye specialist diagnoses blepharitis with:
Clinical examination under a slit-lamp microscope.
Assessment of meibomian gland function.
Evaluation for associated skin conditions like rosacea.
Treatment Options for Blepharitis
Daily Eyelid Hygiene (Cornerstone of Treatment)
Warm compresses to loosen crusts and unclog oil glands.
Gentle eyelid scrubs with diluted baby shampoo or medicated wipes.
Regular cleaning of makeup and debris.
Medications
Topical antibiotics: For bacterial blepharitis.
Oral antibiotics: Such as doxycycline, for severe or rosacea-associated cases.
Steroid eye drops/ointments: For short-term inflammation control.
Managing Associated Conditions
Treating dandruff or rosacea can improve eyelid health.
Lubricating eye drops help relieve dryness.
Lifestyle and Prevention Tips
Practice daily eyelid hygiene even when symptoms improve.
Avoid rubbing eyes.
Remove makeup thoroughly each night.
Manage underlying skin conditions.
Use artificial tears if dry eyes are present.
Frequently Answered Questions
1. Is blepharitis contagious?
No. Unlike infections such as conjunctivitis, blepharitis is not contagious.
2. Can blepharitis be cured?
Blepharitis is usually chronic. While it cannot always be cured, symptoms can be well managed with ongoing care.
3. How often should I clean my eyelids?
Daily eyelid hygiene is recommended, even when symptoms are mild or absent.
4. Can blepharitis cause permanent damage?
Long-term untreated blepharitis can affect eyelid structure and contribute to corneal problems, but this is less common with proper management.
5. Can children get blepharitis?
Yes. Though more common in adults, children can develop blepharitis, often linked to poor eyelid hygiene or skin conditions.
6. Is makeup safe if I have blepharitis?
Yes, but makeup should be removed completely every night. Hypoallergenic products are recommended.
7. Can contact lenses worsen blepharitis?
Yes, especially during flare-ups. Daily disposable lenses may be better for patients prone to blepharitis.
8. When should I see a doctor?
If symptoms persist despite good hygiene, vision becomes affected, or you develop a painful lump, seek specialist care.
Meet Our Specialists
At The Straits Eye Centre, your vision care is in the hands of a dedicated team of experienced ophthalmologists. Each of our doctors brings unique expertise and a shared commitment to delivering thorough, patient-focused care for all ages. Whether you need advanced cataract surgery, paediatric eye management, or treatment for complex eye conditions, our team works together to provide the same attentive care we would want for our own families.
Dr Jason Lee
Senior Consultant & Medical Director
Special interest: Oculoplastics, General Ophthalmology, Myopia, Cataract, Diabetic Retinopathy Dr Jason Lee has extensive training in eyelid, orbital, and tear system surgery, with fellowships completed in Taiwan and China. Previously a Senior Consultant at Khoo Teck Puat Hospital, he co-founded The Vision Mission, a non-profit bringing sustainable eye care to communities in Asia.
Cost, Medisave, and Insurance
Many procedures at The Straits Eye Centre are eligible for Medisave claims under MOH guidelines, and certain insurance plans may cover part or all of your treatment costs. Our patient care team will guide you through eligibility, claim limits, and paperwork, so you can focus on your recovery. For more details, refer to our Medisave & Insurance Guide.
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