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Blepharitis

Chronic Inflammation of the Eyelid Margins

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

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What is Blepharitis?

Anterior blepharitis: staphylococcal or seborrheic inflammation of the lash line.

Posterior blepharitis: meibomian gland dysfunction (MGD) with altered oil secretion.

Mixed blepharitis is most common and coexists with dry eye.

Demodex infestation (D. folliculorum, D. brevis) may contribute to chronic or refractory cases.

Symptoms

Burning, itching, or foreign-body sensation
Crusting, scaling, or matter along the eyelashes
Red, swollen, or greasy eyelid margins
Styes and chalazia (recurrent)
Fluctuating blurred vision from tear film instability
Eye fatigue, light sensitivity, and lash loss/misdirection

Risk Factors

Rosacea and seborrheic dermatitis
Dry eye disease and meibomian gland dysfunction
Age over 50 years
Contact lens wear
Atopic disease (allergy, eczema)
Demodex infestation, especially in elderly

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chronic redness, burning, or crusting despite home hygiene
  • Recurrent styes or chalazia
  • Eyelid mass, ulceration, or lash loss (rule out malignancy)

Treatment Methods

01
Daily lid hygiene: warm compresses (5–10 min) followed by lid scrubs with diluted baby shampoo or commercial lid cleansers
02
Topical antibiotic ointment (erythromycin, bacitracin) for staphylococcal anterior blepharitis
03
Oral doxycycline or azithromycin for moderate-severe posterior blepharitis/rosacea
04
Tea tree oil or ivermectin for Demodex infestation
05
Artificial tears and omega-3 supplementation for associated dry eye
06
In-office treatments: meibomian gland expression, thermal pulsation, intense pulsed light (IPL)

Which Department to Visit?

You can visit our Göz Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göz Hastalıkları Department

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Blepharitis (Eyelid Margin Inflammation)

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Blepharitis is a chronic inflammatory eyelid disorder classified as anterior (staphylococcal or seborrheic) or posterior (meibomian gland dysfunction) causing redness, crusting, foreign-body sensation, dryness, and recurrent styes; treatment combines daily lid hygiene (warm compress, lid scrubs), topical antibiotic-steroid ointments, oral doxycycline or azithromycin, omega-3, and advanced therapies including LipiFlow thermal pulsation, IPL (intense pulsed light), and microblepharoexfoliation for recalcitrant cases.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.