Blepharitis (Granulated Eyelids)

About Blepharitis

Blepharitis, sometimes called "granulated eyelids," is a common condition that causes inflammation in the eyelids. There are two types of blepharitis: anterior and posterior. Anterior blepharitis affects the outer front part of the eyelid, where the lashes are attached. Staphylococcus bacteria or scalp dandruff usually causes it. Posterior blepharitis affects the oil glands of the inner eyelid.


Symptoms are similar for both types of blepharitis. They include:

  • A foreign body or burning sensation in the eye
  • Excessive tearing
  • Itching
  • Sensitivity to light
  • Red and swollen eyelids
  • Eye redness
  • Blurred vision
  • Frothy tears
  • Dry eye
  • Crusting of the eyelashes during sleep

Treatments We Offer

Blepharitis can cause other related conditions such as styes (red, tender bumps on the eyelid) and chalazion, a firm lump that can remain after a stye. Treatment is similar for both types of blepharitis and mainly involves keeping the lids clean and free of crusts. This can be done by applying warm compresses to the eyelid to loosen the crusts and then lightly scrubbing it with a cotton swab and a mixture of water and baby shampoo. People with posterior blepharitis should also massage their eyelids to clear the oil built up in the glands.

For people with severe cases of blepharitis, Columbia ophthalmologists might prescribe antibiotic medications or steroid eyedrops. For people who also have scalp dandruff, the doctor might recommend a dandruff shampoo to help with treatment. People who also have acne rosacea should have that condition treated as well.

Why Choose Columbia?

We know that controlling chronic blepharitis can be difficult, painful, and frustrating. We are experts in diagnosing which type of blepharitis you might have and will help you develop and maintain an eyelid hygiene routine that will keep the condition under control.