Blepharitis is an ophthalmological disorder that manifests itself by inflammation of the eyelids. At the base of the eyelids, the patient notices small crusts formed by solidified oil particles or bacteria that collect in the crease at the corner of the eye.

What is blepharitis?

  • Blepharitis is a chronic disease that occurs when the Meibomian glands (at the base of the eyelashes) become flooded. This leads to inflammation of the eyelids near the lashes, discomfort and redness.
  • Blepharitis can affect one or both eyes.
  • The disorder is not contagious.
  • Blepharitis can occur at any age, but it is most common in people over 40.
  • It’s a chronic, recurring infection. It has periods when symptoms are not noticeable, followed by periods when they become extremely intense.

Left untreated, blepharitis can lead to further complications:

  • Dry eyes (tear film dysfunction)
  • Conjunctivitis (inflammatory disorder, caused by conjunctival hypersecretion)
  • Keratitis (inflammation or injury to the cornea)
  • Stye (disorder of the sebaceous glands)
  • Chalazion (inflammation of the upper or lower eyelid)
  • Over time, the white part of the eye can become increasingly red
  • Ectropion (the edges of the eyelids turn outwards) or entropion (the edges of the eyelids turn inwards)
  • Eyelashes lose color, grow abnormally or fall
  • Patients with refractive errors have difficulty wearing contact lenses
  • Quality of vision is severely affected by corneal erosion

How many types of blepharitis are there?

Blepharitis is bilateral, most of the time, and can be:

  1. Anterior blepharitis – affects the outer part of the eyelid, in the area near the eyelashes
  2. Posterior blepharitis – affects the inner part of the eyelid, specifically the sebaceous glands
  3. Mixed blepharitis – affects both the sebaceous glands and the base of the outer eyelid. This is the most common form of the disease, which makes chronic blepharitis so difficult to treat.

What causes blepharitis?

Before presenting the causes of blepharitis, you should know that there are several risk factors that make you more susceptible to this disease:

  1. If you are a smoker
  2. If you are a regular drinker
  3. If you have an unbalanced diet
  4. If you wear contact lenses
  5. If you live in a polluted environment with wind, dust and low humidity
  6. If you have oily skin
  7. If you have dandruff
  8. If you have allergies to certain medicines or cosmetics

The most common causes of blepharitis are:

  • Conjunctivitis
  • Seborrheic dermatitis
  • Acne rosacea
  • Bacteria
  • Untreated myopia, hypermetropia or astigmatism
  • Allergies to contact lens cleaning solutions, eye medicines or cosmetics
  • Hormonal causes
  • Tear film dysfunction
  • Diabetes mellitus
  • Digestive tract disorders
  • Avitaminosis

What are the symptoms of blepharitis?

Blepharitis occurs equally in adults, children and babies. Most commonly, it is accompanied by an itchy sensation, redness and irritation in the eyelash area, and small crusts that form at the base of the outer eyelid. Other symptoms of blepharitis are:

  • Tearing
  • Sensitivity to light
  • Foreign object sensation
  • Inflamed eyelids
  • Stinging sensation in the eyes
  • Eyelid gluing
  • Exfoliation around the eyes
  • The impression that the eyelids are oily
  • Often blinking
  • Discomfort when wearing contact lenses
  • Dry eyes

All of these can be amplified by alcohol and tobacco consumption, an unbalanced diet, allergies to cosmetics, and environmental conditions – smoke, dust or air flows.

How is blepharitis treated?

Chronic blepharitis requires an ophthalmological examination, in which the specialist observes the patient’s symptoms, carries out investigations and establishes a diagnosis. Based on this, treatment may involve:

  • Better eyelid hygiene
  • Massaging and applying warm water compresses to clean the secretions (helps evacuate and cleanse secretions)
  • Antibiotic treatment
  • Treatment with drops – artificial tears, to hydrate the cornea and maintain the tear film (if the patient also experiences dry eyes)
  • Topical corticosteroids (to reduce inflammation of the eyelids)
  • In the Dr. Holhos ophthalmology network, blepharitis can be treated with a device specially designed for this intervention. It is similar to “googles” safety glasses and is designed to warm the eyelids and relieve the symptoms of the disorder. Due to the unique nature of the design, it is possible to achieve the necessary warmth and humidity in a controlled way, with a beneficial effect on eye health. Depending on the severity of the disease and the patient’s response to ophthalmic treatment, blepharitis can be cured in 5-10 sessions. One session takes only a few minutes.

If you notice symptoms of blepharitis in yourself or someone close to you, schedule a visit to an ophthalmology practice. If you are experiencing chronic blepharitis, visit one of Dr. Holhoș clinics. Our specialists and state-of-the-art medical technology can help you improve your quality of vision.

Text medically reviewed by Dr. Teodor Holhoș, Ophthalmic Surgeon
Written by Dr. Holhos Team

Nystagmus is the eye condition where the eyes make repetitive and uncontrollable movements. Discover other symptoms and treatment options.

Color vision deficiency, also known as dyschromatopsia, is a general term referring to various vision disorders characterized by a deficiency in color perception.

“Flying flies” are most often harmless and represent a normal stage in the aging process. Find out what the causes are and how you can reduce the symptoms.

Ocular allergies occur as a reaction of the body to an allergen, causing inflammation and itching in the eyes. The most common ocular allergies are seasonal.

Ophthalmic migraine is most common in the 40s. It manifests itself in visual impairment and even temporary blindness.

Keratitis, also known as “corneal ulcer”, is an inflammation of the cornea. If detected early, the ophthalmological disorder is easy to treat and heals quickly.

Diplopia is an ophthalmological disease in which you see two images of the same thing. The condition can affect anyone, but is more common after the age of 60.

Xanthelasma is a member of the xanthomas family and represents fatty deposits in the skin cells around the eyes. It is visible as yellow, harmless bumps.

Colorblind people perceive colors differently from most people. Most of the time, this ophthalmological disorder makes it difficult to distinguish between certain colors.

Epiphora is an ophthalmological disorder manifested by excessive tearing of the eyes. Most of the time, it is not severe and disappears on its own. However, if you are experiencing this and the problem persists, we recommend that you make an appointment for an ophthalmological examination. Treatment can be different, depending on the cause of the epiphora.

If you notice a yellow spot on the white of your eye, you are most likely dealing with pinguecula. The ophthalmological disorder is not severe, but the symptoms can be uncomfortable. Find out how to treat pinguecula and, more importantly, how you can prevent it.

Entropion is the ophthalmological disorder in which the eyelid of the eye turns inwards. It is different from ectropion, where the eyelid turns outwards. It most often occurs in older people and usually only affects the lower eyelid.

It is possible that you may also be experiencing ocular toxoplasmosis without knowing it. This retinal disorder is extremely common in our century and is manifested by eye discomfort and blurred vision.

Ectropion is the ophthalmic disorder in which the eyelid and eyelashes pull away from the cornea, and reorient outwards.

One of the most common types of headache is headache of ocular origin. It occurs as a result of an ophthalmological disorder.

Blepharitis is an ophthalmological disorder that manifests itself by inflammation of the eyelids. At the base of the eyelids, the patient notices small crusts formed by solidified oil particles or bacteria that collect in the crease at the corner of the eye.

Uveitis is an ophthalmological disorder of the uveal tract, manifested by changes in vision and eye pain.

Among the most common ophthalmological disorders is hordeolum. This is popularly known as an “stye” and is an infection of the eyelids.

The drooping eyelid is known in medical terms as “palpebral ptosis”. It manifests itself by narrowing the visual slit of one or both eyes, creating aesthetic and functional discomfort.

Amblyopia is a vision problem, popularly known as “lazy eye”. This disorder can occur in one or both eyes, and studies show that around 3% of the population suffer from this eye disease.

The sensation of “dry eyes” or “tired eyes” is known in medical terms as “dry keratoconjunctivitis” or “xerophthalmia”, and refers to a dysfunction of the tear film.

Strabismus, also known as “crossed-eyes” or “crossed vision”, is an ophthalmological disorder in which the visual axis of the eyes is not aligned. This causes one eye to deviate when it needs to look at a fixed point.

Conjunctivitis is one of the most common ophthalmological disorders. It can occur in adults, children and babies.

Chalazion is manifested by inflammation of the upper or lower eyelid. It is one of the most common ophthalmological disorders, and occurs when the secretion of sebaceous glands in the eye is blocked.

Macular degeneration involves deterioration of the macula and therefore of the quality of central vision. This disease does not affect peripheral vision and therefore cannot lead to complete blindness.

Hypermetropia affects the ability to see nearby objects. You may be able to see distant objects clearly, but closer objects, even words in a book, are usually out of focus. Hypermetropia occurs when the eye does not focus light properly on the retina (the light-sensitive layer at the back of the eye).

Myopia is a disorder that falls into the category of refractive errors (along with astigmatism and hypermetropia). In common terms, myopia manifests itself as blurred distance vision, while near vision is not a problem.

Astigmatism, like myopia and hypermetropia, is a refractive error. In general terms, the disorder manifests itself in blurred, fuzzy vision, regardless of the distance to objects, surfaces.

Presbyopia is an age-related disorder characterized by decreased near vision. It usually appears around the age of 40.

Cataract is a common ophthalmological disorder that causes progressive loss of vision through loss of lens transparency. Studies show that about 50% of the population loses their vision due to this disorder.

See all

You can make an appointment quickly via the form on the right, or directly over the phone. Our colleagues at the reception desk will be happy to provide you with the availability and information you need to make an appointment. Filling in the form does not represent the registration or confirmation of an appointment, but submitting an appointment request. You will be contacted by our team to check the availability of doctors and make an appointment.


Important note regarding patient consultations and surgery appointments

A patient who cancels a consultation or surgery appointment once, at least one day prior to the scheduled appointment, has the right to a second appointment under the same conditions.
If the patient cancels the second consultation and/or surgery appointment, a new appointment can be made only if the patient accepts to pay for both the consultation and the surgery in advance. This can be done either by payment order or in cash at the clinic reception.
A patient who does not show up for their consultation or surgery, who does not cancel the appointment in due time, or does not answer the clinic’s calls, may request a second appointment only if they pay for the consultation/surgery in advance. 
Patients requesting an appointment for retinal surgeries or laser Prk/Femtolasik/Smile Pro must pay 30% of the cost of the surgery in advance. The appointment will be scheduled only after receiving the advance payment. If the patient is unable to attend the scheduled consultation or surgery, and cancels the intervention at least 48 hours beforehand, they will be refunded in full. If the patient does not show up and does not cancel or contact the clinic at least 48 hours in advance, the advance paid is considered to be lost as damages and will no longer be refunded.