Blepharitis is inflammation of the eyelid edges, usually around the eyelashes. It is typically caused by the imbalance growth of micro-organism (bacteria) on the eyelids or by blocked oil glands inside the eyelids. It is common and usually not dangerous, but it often needs regular eyelid cleaning and ongoing care to keep symptoms under control.
Blepharitis commonly causes itchy, irritated, or burning eyes, with the eyelid edges feeling sore or inflamed. Many people notice crusting around the eyelashes, especially on waking, along with redness, watering, gritty sensation, or fluctuating blurred vision. The eyes can also feel dry and uncomfortable, and symptoms often come and go over time.
Demodex blepharitis is a very common eye condition caused by an overgrowth of tiny microscopic mites in the eyelash follicles
Demodex are tiny mites that can live around the eyelashes and contribute to eyelid irritation, crusting, and blepharitis.
Warm compresses help soften blocked oils in the eyelid glands, making them easier to release. Apply a comfortably warm cloth or heated eye mask over closed eyelids for 5–10 minutes, then gently massage and clean the eyelid margins. This is often one of the key daily treatments for blepharitis and meibomian gland dysfunction
Lubricating eye drops can soothe dryness, grittiness, burning, and irritation caused by blepharitis. In more inflamed or infected cases, your eye specialist may recommend antibiotic or anti-inflammatory drops, but eyelid hygiene remains the main treatment
Oral antibiotics, such as doxycycline, may be used for more persistent blepharitis, especially when it is associated with meibomian gland dysfunction or rosacea and has not settled with eyelid hygiene alone. They help reduce eyelid inflammation and improve the quality of the oily tear layer, but they should only be used when recommended by an eye specialist or doctor