Expert Eye Clinic


Gentle treatment for red, swollen and itchy eyelids.

What is Blepharitis?

Blepharitis is inflammation of the rims of the eyelids, which causes them to be sore, swollen and can lead to crusting on the eyelashes.

Blepharitis can be found in both male and females of all age groups but is more common in children and people aged 45+.

Blepharitis symptoms include:

  • Crusty debris at the base of eyelashes
  • Itchy and sore eyes
  • Irritated, watery eyes
  • Eyelids that are difficult to open and they stick together
  • Eyelids become crusty or greasy/oily
  • Blurred vision
  • Lid Cysts (Chalazion) / Ulcers on the eyelids


Depending on the severity of Blepharitis, you may have some or all these symptoms, and blepharitis symptoms may be intermittent or constant. In some cases, blepharitis also causes loss of eyelashes (Madarosis).

What causes blepharitis?

Blepharitis is also a common cause of contact lens discomfort, forcing many people to give up wearing contact lenses altogether.

There are several possible causes of blepharitis, including:

  • Bacterial eyelid infection
  • Meibomian gland dysfunction (MGD)
  • Dry Eyes Syndrome
  • Fungal eyelid infection
  • Parasites (Demodex eyelash mites)


Blepharitis also is frequently associated with skin conditions, such as Ocular Rosacea, eczema, Seborrheic dermatitis, dandruff, and psoriasis. This is usually a long term (chronic) condition once it is developed the flare-ups will repeat.

Blepharitis usually is associated with an overgrowth of bacteria that live along the margins of the eyelids and at the base of the eyelashes. Over time, the bacteria multiply and create a structure called a biofilm. This biofilm becomes a toxic environment — like the plaque that forms on your teeth. Parasitic eyelash mites called Demodex feed on the biofilm, which in turn leads to an overgrowth of these mites that causes a worsening of the eyelid inflammation.

Bacteria in the eyelid biofilm also produce substances called exotoxins that cause inflammation of oil-secreting glands in the eyelids called meibomian glands. This causes a condition called Meibomian Gland Dysfunction which can cause the eye further eye discomfort.

Treatments of Blepharitis

Treatments of blepharitis should begin with a visit with our one of our clinicians to determine the cause of your eyelid inflammation and or eye soreness.

Our experts will examine your eyes and eyelids to evaluate whether you have blepharitis and determine what type of blepharitis treatment is most appropriate for you.

Our experts also may prescribe topical medicines to destroy excess blepharitis – causing bacteria or other microbes on the eyelids, particularly if there is a risk of eye infection or it appears you have pink eye or some other type of eye infection as well as blepharitis.

Blepharitis FAQs

  • BlephEx. This gently scrubs your eyelids and removes the build-up of biofilm, bacteria, dandruff, and cruff from your lid margins.
  • Eye Drops – Our ranges of eye drops tend to be preservative and phosphate-free, to help manage the symptoms of the conditions, also to help the healing process.
  • IPL M22 TM

BlephEx and IPL M22 TM treatments usually last 30mins, in the same treatment time we will also be able to give you advice on the eye drops and good eye health practice.

We tend to favour the Hylo Care range of products that are suitable to treat most symptoms associated with dry eyes and associated conditions. The Hylo care range contains Vitamin B5, this has been clinically proven to heal and advance the healing process and injury of the cornea.

The range is preservative and phosphate-free and will keep 6 months from the date opening the eye drops.

Speak to one of our experts and find out how we can help you in Blepharitis treatment