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Anterior blepharitis diagnosis! Itchy red eyelids frequently, what can i do to stop it?!

I recently went to an ophthalmologist for the millionth time, who told me that my dry eyes looked a lot better which is likely down to the hylo forte drops that he had previously prescribed, my eyes do feel a lot better in terms of dryness.They are rarely puffy, and they dont feel as sore, i used to get a lot of pain in my right eye like a burning sensation but now i rarely get that too. Thats all for the good points, i was told that i have anterior blepharitis, i knew i had bleph i had been told millions of times and was told millions of times to just wash it with baby shampoo and hope for the best, but now i actually have been told what type of it i have, I'm hoping someone can help me with any ideas to stop the symptoms i get frequently. I have red, itchy, bumpy dry eyelids, ALL THE TIME. I probably get about, 5 days to a week maximum before i have a flare up. It always begins in the very corner of my eye where your tear duct is and spreads out. Its so uncomfortable as it is so itchy, and it is really getting me down, it makes me feel ugly, i sometimes i get extra skin folds that look weird too in the crease of my eyelid, that just come out of nowhere. The doctor told me to keep using heated eye compresses even when itchy and clean as normal during a flare up, he also said to use aveeno creams to take down the 'rash' that forms. I wish this was effective, it just feels like it isn't, i have used tobradex before that gets rid of the eyelid inflammation rapidly but it is a mixture of steroid and antibiotic and I'm terrified of using it alot as ive already been told ive got a fair bit of pressure in my eyes. 

I'm just hoping for some advice on STOPPING how frequent the inflammation is, it is just bringing me so down that it is so often, i have lost all confidence in myself, ive gained weight ive isolated myself from my friends, because as a 21 year old girl, something like this separates you from people your age and leaves you feeling really alone, when you can't do your makeup like normal people and you can't be around people without feeling embarrassed or unsociable because your eyelid is red and itching like mad, my general routine is i wake up and wash my face with a facewash by neutrogena, use a heated eye mask, massage my eyes, wash them with ocusoft wash then wipe them with tea tree wipes, then depending on whether the lid is flared up or not, i use a simple eyelid cream for day to day normal eye use, and when itchy and red i use aveeno creams.  I repeat this again at night. I use eye drops throughout the day to combat my dry eye. 

if anyone has any tips, if anything has worked for you, please let me know. I just want to stop the frequency of it, it flares up without me even doing anything to provoke it and I'm so fed up. 



31 Replies

  • jade00028

    My solution to this annoying problem is to shower every morning under a hottish shower and use a shampoo called Capasal, this is coal tar based and smells a bit but rinses off, it is available on prescription and is prescribed for seborrheoic dermatitis.  Was the eye area thoroughly.

    It has worked for me for many years but MUST be done every day.


    • jade00028

      Hi Jade, yes, I wash my hair first then with the suds wash all around my eyes, brows and lashes keeping my eyes lightly closed.  If it gets into your eyes it won't do any harm, just rinse it out.

    • jade00028

      Anterior blepharitis can be caused by either:

      a reaction to Staphylococcus bacteria – these usually live harmlessly on the skin of many people, but for unknown reasons they can cause the eyelids to become inflamed 

      seborrhoeic dermatitis – a skin condition that causes skin to become oily or flaky and sometimes irritate the eyelids, causing the Meibomian glands to block.

      The above was found on the web regarding anterior blepharitis and may help to explain why in some cases the seb. dermatitis shampoo works for some people.  I have an oily skin and I have also had 2 chalazions caused by blocked meibomian glands.  The crud from blepharitis can do this.

      BTW, I had  a slit lamp test recently and the ophthalmologist noticed the blepharitis and the remains of the last chalazion (nearly gone), he told me the NHS won't treat these anymore due to cost so if you are unlucky enough to get one, hard luck or go private!

    • david01026

      I've read those descriptions beforehand but I've got no idea which applies to me, I've got combination normal oily skin so I've never thought of it as a problem but maybe it is, I just don't know. That's what's so frustrating! Oh dear that's ridiculous! Bless you atleast it's nearly gone, did he say anything about the state of your bleph did he comment on improvement since use of the shampoo? 

  • jade00028

    So sorry.  It is terrible.  Did he mention demodex?  Try Cliradex wipes or wet ones.  Cliradex on amazon.  Did you see discussion on wet ones?  Let me know if you need info. on the wet ones.  I'm overwhelmed with it right now and my 3 kids have it too.

    Stay in touch.

    • hopeful too

      I tried all of this  it helped initially then it became to harsh.  If it works great I believe each case is different and you need to experiment until you find what works for you.

    • hopeful too

      Thank you sad no he didn't and I had a very thorough examination, I've seen but I darent use them as they're a chemical just feels like it might be a bit harsh on the skin, it's awful isn't it! No one understands unless they have it sad I've never tried cliradex I'll buy some x 

  • jade00028

    I feel for you. So sorry your experiencing it.  It's trial and error.  Heat is not good for me I use tepid or cool water....wash with Vani  lotion to wash,Vani cream or lotion and Thera tears drops followed by Vani cream or lotion depending on if I need more moisture.  After trying EVERYTHING this is the only thing that worked.  At first I washed my eyes 6 times a day now only three. Believe me I tried EVERYTHING and found less is more.  Good luck I really feel for you it is a horrible disease to endure.  I wear no make up just lipstick 

    • KP1953

      Thank you, it's horrible isn't it! I know it is I've been trying different things for about 8 months sad I stopped using heat but was told to upon my most recent visit to the doctor. What is vani lotion? Like what's in it? It's just the worst I'm so tired of feeling crap, thanks for your advice so happy for you that you've had success! 

  • jade00028

    Hi Jade,

    You are describing exactly the way I looked and felt before discovering what now works for me. 

    I no longer do the heat pads and I do not bother with the baby shampoo either.

    I wash my face and eyelids with any normal facial cleanser and I follow up with the following.

    In one quarter cup of pre-boiled water, add 2 drops liquid soap or shampoo and 10 drops of 100% pure tea tree oil.

    Use this mixture to cleans and wipe down your eyelids. It will stop the itching and keep your eyes looking and feeling normal. 

    This amount will be sufficient for approximately 10 cleanings. I do it 4 times a day, but you may not need to do it so often. I suggest that you stop using the Aveeno or any other lotion on or around your eyelids.

    I wish you great success.


    • lyse55468

      Hi lyse, thanks for replying! What kind of shampoo or soap do you use? Do you store this mixture in the fridge? And how come you think I should stop using creams? Will give it a try! Thank you very much. 

    • lyse55468

      I would love to know answers to jade's questions too. Hopefully I will see them...kind of soap/shampoo and storage?Or please respond to me too. Did you have eyelashes falling out?  What were your symptoms?  THANKS so much.  I've been dealing with this for a year.

  • jade00028

    I use 2 drops of my facial cleanser but it doesn't matter what kind of liquid cleanser or shampoo you use. It's only included in order to break down the tea tree oil and mix well with the water. If the water is still hot, it will mix even better. 

    I stopped using any cream around my eyes (Aveeno) because it was counterproductive. The oil from the tea tree will not leave you with dry skin around the eyes. Honestly, I look normal again after many years of suffering with this curse.

    • lyse55468

      Counterproductive in what way? And what do you apply the mixture with? Just a cotton wool pad? Does it get in your eyes? How long have you been using it and how quickly did you see results?

      How did you discover it? Sorry for all the questions I really appreciate your help! 


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