Blepharitis causes puffy eyes

What is blepharitis?


Inflamed eyelids usually indicate blepharitis. Possible causes are infections, excessive sebum production or external influences such as wearing contact lenses or foreign bodies in the eye. With appropriate eyelid hygiene or antibiotics, you can get rid of the inflammation quickly.


Blepharitis is the inflammation of the eyelids. The disease is accompanied by crusty eyelashes and red, swollen, itchy and burning eyes. The reason for this are mostly clogged sebum glandscaused by infection, excessive sebum production, or foreign objects. An ophthalmologist can determine the exact trigger and treat accordingly. Anyone who suffers from chronic inflammation of the eyelid can prevent it with a thorough eye hygiene contain.

Blepharitis - identify the cause

Eyelid inflammation can have a number of causes. However, in order to properly treat blepharitis, it is important to know the specific trigger. Therefore, an ophthalmologist should always be consulted for the diagnosis. Possible causes of inflammation on the eyelid include:

  • Infections: A bacterial or viral infection is often the cause of blepharitis. Staphylococci, herpes or chickenpox viruses, which clog the sebum glands, are responsible for this. Pubic lice, fungi and parasites can also affect the eyes. Infectious eyelid inflammation is also often associated with conjunctivitis. This type of blepharitis can also be contagious.
  • excessive sebum production: Some people are prone to excessive production of sebum, also known as seborrhea. They often suffer from skin diseases such as acne, dandruff or rosacea at the same time. The excessively produced sebum clogs the glands and also provides bacteria and viruses with an ideal breeding ground. This not only results in crusty eyelids, but often also inflammation of the eyelid. This form of blepharitis is mostly chronic.
  • external stimuli: Contact lenses, foreign objects such as sand, chemicals, wind, and extreme temperatures can also cause eyelid inflammation. Blepharitis goes away quickly and does not return when the stimuli are removed.


Blepharitis is often associated with germs that live on the edges of the eyelids and at the base of the eyelashes. Over time, they multiply and form a structure called a biofilm. This biofilm becomes an environment that fosters infection - like the plaque that builds up on teeth. Parasitic eyelash mites feed on the biofilm, which in turn leads to overgrowth. This makes the eyelid inflammation increasingly worse. Because of this, blepharitis should be avoided treated in a timely manner become.

These symptoms of blepharitis occur

The eyelid inflammation manifests itself through various complaints, which can be stronger or weaker depending on the cause. The most common symptoms of blepharitis are:

  • burning, reddened eyes
  • Foreign body sensation
  • itchy, sometimes swollen eyelids
  • Encrustations or flakes on the lash line
  • Irritated, dry, or watery eyes
  • Gluing the eyelids together
  • Eyelash loss


Depending on the severity of the eyelid inflammation, some or all of these symptoms may occur. They can be intermittent (temporary) or constant. In some cases blepharitis accompanies conjunctivitis (conjunctivitis) or skin diseases.

Treatment of eyelid inflammation

A visit to the ophthalmologist is essential for successful blepharitis therapy. Once the cause has been clarified, he will develop a treatment plan. He prescribes for an infectious eyelid inflammation Antibiotics in the form of eye ointment, eye drops, or tablets. If the trigger is a skin disease, this must also be treated.

In addition, the treatment of blepharitis mainly involves thorough treatment Lid hygiene to remove excess sebum. To do this, the eyelids are warmed up with eye compresses in the first step. Then massage your eyelids with your fingers or a cotton swab from top to bottom in the direction of the eyelashes. This ensures that the sebum can flow off properly again.

In the second step, the glued lid edges and eyelashes are cleaned. Prescription cleaning solutions, diluted baby shampoo, or hypoallergenic soaps that you apply to cotton pads can help. It is important that the remedies are mild and do not get into the eyes. If you have stubborn crusts and flakes, you can also use a gentle eyelid scrub. Then the eye is rinsed with warm water. Repeat the process daily until the blepharitis has healed.

Prevent blepharitis - this is how it works

In some people, eyelid inflammation is chronic, for example because they suffer from excessive sebum production. However, you can make blepharitis less likely to return. The precautionary measures include daily cleaning of the eyelids according to the above procedure. Dietary supplements such as omega-3 fatty acids also help the sebum glands to function properly and to keep the eyes moist.

If you frequently suffer from eyelid inflammation because you wear contact lenses, it is advisable to To permanently renounce contact lenses. Alternatively, you can only use disposable daily lenses instead of monthly lenses.