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Eyelid Infections: How They Form & How To Avoid Them

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Eye infections like pink eye are serious business. Most people know and respect that, which is great. But I don’t know that enough people understand the importance or possible severity of eyelid infections. 

Your eyelids are exposed to a lot of heat and moisture, which creates an excellent environment for bacteria to grow. On top of the natural potential for infection, many people don’t take eyelid hygiene seriously, which makes them even more likely to develop an eyelid infection.

I see eyelid infections all the time, and in my opinion, we don’t talk about them nearly enough. Today, I’d like to rectify that. These are some of the basic facts you should know about common eyelid infections.

Blepharitis

Blepharitis is an inflammation of the eyelid. While it’s not necessarily an infection in its own right, it can stem from issues like staph infections or even head lice infestations. Although eyelid inflammation itself isn’t necessarily infectious, the condition causing the inflammation might be, so you should be careful to avoid touching the area.

Blepharitis is closely related to dry eye disease. In fact, some medical scientists have proposed merging dry eye and blepharitis into a single condition called Dry Eye Blepharitis Syndrome or DEBS. 

When the eyelid becomes inflamed, the meibomian glands along the margins of the eyelids struggle to excrete oil properly. Without a thin layer of oil coating the surface of your tears, the tears evaporate too quickly. This premature evaporation causes the eyes to feel dry and irritated. 

Symptoms

Symptoms of blepharitis include:

  • Flaky skin on the eyelid
  • Crusty debris on the eyelashes
  • Dry eye
  • Excessive tears
  • Itching
  • Redness
  • Swelling
  • Greasy eyelids
  • Gritty sensation
  • Sensitivity to light

Treatments

One of the most popular treatments for blepharitis is called BlephEx. It is an in-office treatment designed to clear debris from the lash line. 

Eyelid hygiene is crucial in the treatment and management of blepharitis. In addition to BlephEx, you can also find certain lid wipes and cleansers that are specifically designed for your eye health. If you do not have access to these sorts of at-home treatments, some people find that baby shampoo on a cotton swab is gentle enough to help prevent flare-ups.

 In some cases, your optometrist may treat your blepharitis with a topical antibiotic.

Dermatitis

The term dermatitis, again, does not refer specifically to infection. It is a word that refers to general skin irritation. 

Dermatitis typically occurs due to irritants coming into contact with the skin (called contact dermatitis), genetic conditions like eczema (atopic dermatitis), or due to allergies (called allergic dermatitis). 

There is also a type of dermatitis called seborrheic dermatitis. The medical community is somewhat divided on this condition and cannot quite agree whether it is a bacterial infection, a fungal infection, or not an infection at all.

There is evidence to indicate that both yeast and staphylococcus (the bacteria responsible for staph infections) bacteria could be partly responsible for seborrheic dermatitis.

Symptoms

Symptoms of eyelid dermatitis include:

  • Thickened eyelid skin
  • Itching
  • Redness
  • Loss of eyelashes
  • Swelling

Treatments

The treatment for dermatitis depends on which type of dermatitis you are experiencing. Your doctor may prescribe a corticosteroid treatment to reduce swelling and inflammation. Your optometrist may also prescribe a topical or oral medication that suppresses your immune response in order to get the inflammation under control. 

In the short-term, you may find moisturizing lotions without perfume or fragrances help soothe the itching and discomfort.

Ocular Rosacea

Much like blepharitis and dermatitis, ocular rosacea is a condition that develops due to the skin’s inflammatory response. Doctors do not currently have a definitive answer for what causes rosacea. However, research indicates that the condition is linked to bacteria as well as eyelash mites.

Sufferers of ocular rosacea are also quite prone to eye infections like conjunctivitis or pink eye.

Ocular rosacea can be triggered by a variety of factors, including everything from your environment to emotions like anger or embarrassment.

Symptoms

Symptoms of ocular rosacea include:

  • Redness
  • Itching
  • Burning or stinging
  • Dry eyes
  • Excessive tears
  • The sensation that something is stuck in your eye
  • Swelling

Treatments

Ocular rosacea is not curable, however, it can be managed with the right medications. In most cases, ocular rosacea is treated with oral antibiotics, or sometimes,  corticosteroids in the form of eye drops. 

How Can I Tell What Kind of Infection I Have?

Chart comparing symptoms of different eyelid infections

The symptoms of different eyelid conditions can be quite similar, which makes it difficult to determine what condition you are suffering from. However, it is best to leave the diagnosis up to your optometrist. If something seems abnormal about your eyelids, it is best to see your optometrist as soon as possible. They will make a formal diagnosis and provide you with the appropriate treatment. 

Written by Dr. Madison Baldwin

As a Kansas native (born and raised in Kingman), I am thrilled to be able to practice what I love so close to home. I can’t imagine anything better than to be caring for my community and building strong ties to new friends and colleagues.

When I’m not in the office caring for my patients, I enjoy making memories with my husband, Aaron, and our dog-child, Dexter! You’ll often find me playing piano, hosting our friends and family in our home, or out for a run. Aaron and I enjoy traveling to warm places and recently became open-water scuba diver certified!

I chose eye care as my career because I’ve always wanted to help people. The quality of care I provide is incredibly important to me. In an age where doctors spend just a few minutes with their patients, I am proud to give my patients the time and diligence they deserve. More than to simply “see” you, I want to learn more about you and how I can best serve your needs. Our relationship matters.

I invite you to make an appointment for yourself or your children, whether you have an eye concern or are simply seeking an updated corrective lens prescription. I will always do my best to provide you the best eye care available anywhere in Wichita.

Professional Associations & Memberships

  • Member, Kansas Optometric Association (KOA)
  • Member, American Optometric Association (AOA)
  • Member, Business Networking International (BNI)

Education

  • Bachelor of Science (chemistry) – Bethel College, 2007
  • Doctor of Optometry – Northeastern State University, Oklahoma College of Optometry, 2011
    • Graduated Magna Cum Laude
    • Member of the Beta Sigma Kappa honor society
    • Presented with “Outstanding Clinician in Ocular Disease” award.
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