What is blepharitis?

Blepharitis is a common inflammatory condition where the edges of the eyelids become red, swollen and inflamed. Blepharitis is often caused by a build-up of bacteria living along the eyelid and eyelashes. The most important part of treating and managing Blepharitis is to keep the eyelids clean. If you do not treat it, it will not improve, and your symptoms will remain or possible worsen.


Types of blepharitis

There are two types of blepharitis including anterior and posterier. Anterior blepharitis refers to inflammation affecting the skin around the base of your eyelashes. Posterior Blepharitis refers to inflammation affecting your eyelid glands. Meibomian Glad Dysfunction (MGD) can occur when the eyelid glands become clogged.


Blepharitis affects more than 82 million Americans. It is common amongst people aged over 50. Also, those who have oily skin, dandruff or rosacea are more susceptible to being diagnosed. 


Symptoms and causes

If you have Blepharitis, you may notice some of the following:


  • Itchy, sore, and red eyelids that stick together
  • Burning, gritty sensation in your eyes
  • Visible dandruff on your eyelashes
  • Crusty or greasy eyelashes


The possible causes of Blepharitis include:


  • Complication of skin conditions such as Seborrhoelc Dermatitis or Rosacea
  • A buildup of oil and debris on the eyelids and eyelashes
  • Meibomian Gland Dysfunction (MGD)
  • Bacterial eyelid infection


Advice & Treatment for Blepharitis

Daily lid hygiene is essential to the management of Blepharitis. Here are treatments that can help you maintain cleanliness around your eyelids:


Heat:

Applying a Heated Eye Mask or warm cloth to closed eyelids for 10 minutes can help soften the clogged oils in the eyelid glands. This allows the oils to follow more freely and help prevent the tears from evaporating from the surface of the eye. Following the heated eye mask, gently massage the eyelids using your forefinger. Massaging will help to push the oils out from the eyelid glands.


Cleanse:

Cleansing your eyelids daily will help remove debris, bacteria, and oil that can often lead to Blepharitis or Meibomian Gland Dysfunction (MGD). Using lid scrubs or diluted baby shampoo applied by swab or cotton bud have been the most widely recommended method, there are newer, more effective methods of managing lid hygiene such as commercially available lid scrubs, wipes, and Ocusoft Lid foam. Lid scrubs and wipes are usually presoaked in a cleansing solution and ready to use.


Doctor’s Blephex Treatment: 

In cases of severe meibomian glad plugging and recurrent chalazions/styes, our doctors recommend a BlephEx treatment. BlephEx uses a gentle micro-exfoliating sponge to gently cleanse and remove bacterial biofilm and lid debris in just 6-8 minutes. Since home treatments are only semi-effective the procedure is typically repeated at 4–6-month intervals.


Supplement: 

Eye doctors recommend a diet rich in Omega-3 Fatty Acids and/or the use of nutritional supplements to help manage Blepharitis. Increasing your consumption of Omega-3 Fatty Acids can improve the oil in your glands and relieve symptoms associated with Blepharitis, Dry Eye, and Meibomian Glad Dysfuction (MGD). It is important to choose an Omega-3 supplement such as Focus Relief Vitamins that is highly absorbable by the body to ensure best results.


Think you may be susceptible to blepharitis? Contact our office and request an appointment at one of our locations. Call 516-785-3900 (Wantagh office) or 516-541-4141 (Massapequa office) to schedule an appointment. Our ophthalmologists will talk with you about your symptoms and whether you may be diagnosed. 


Sources: Tucson Eyecare, American Academy of Ophthalmology

By Bob Berendsen July 1, 2026
What you eat doesn’t just affect your energy or heart health. It also plays a major role in how well your eyes function over time. While periodic eye exams are important for protecting your vision, a healthy diet can support long-term eye health and may minimize the chances of certain vision problems as you age. At your eye care provider, we often remind patients that healthy vision starts from the inside out. How Nutrition Impacts Eye Health Your vision depends on a steady supply of vitamins, minerals, and antioxidants to stay healthy. Poor nutrition can contribute to issues such as dry eyes, night vision difficulties, and a higher risk of conditions such as cataracts or age-related macular degeneration (AMD). A balanced diet may help protect delicate eye tissues from oxidative stress- and inflammation-induced damage. Key nutrients like vitamins A, C, and E, along with omega-3 fatty acids and zinc, all play important roles in preserving clear, comfortable vision. Best Foods for Healthy Vision Leafy Green Vegetables Spinach, kale, and collard greens are loaded with lutein and zeaxanthin—two powerful antioxidants that help filter harmful blue light and protect the retina. Benefits include: Reduced risk of macular degeneration Better protection against light damage Long-term retinal health support Carrots and Orange Vegetables Carrots, sweet potatoes, and pumpkins contain high amounts of beta-carotene, which the body converts into vitamin A. This nutrient is essential for good night vision and comprehensive eye function. They help support: Clear low-light vision Healthy corneas Reduced risk of dry eyes Fatty Fish Salmon, tuna, mackerel, and sardines are fantastic sources of omega-3 fatty acids. These healthy fats support the oil layer of your tears and help prevent dry eye symptoms. They may help with: Eye moisture and comfort Reduced inflammation Retinal health support Citrus Fruits and Berries Oranges, grapefruits, strawberries, and blueberries have high counts of vitamin C and antioxidants. These nutrients shield the eyes from oxidative stress and may slow age-related damage. Benefits include: Stronger blood vessels in the eyes Lower risk of cataracts Overall antioxidant protection Nuts and Seeds Almonds, walnuts, flaxseeds, and chia seeds provide vitamin E and omega-3 fatty acids that help protect eye cells from damage. They support: Long-term eye cell health Reduced inflammation Protection from age-related vision changes Foods That Promote Long-Term Vision Care No single food can guarantee perfect vision, but a consistent, well-rounded diet rich in eye-friendly nutrients can create a meaningful difference. Combining healthy eating with protective measures like UV-blocking sunglasses and regular eye exams provides the best defense for your vision. When Diet Isn’t Enough Even with a healthy diet, vision changes can still occur due to age, genetics, or underlying eye conditions. If you notice blurry vision, increased dryness, difficulty seeing at night, or changes in how you see colors and light, it’s important to schedule a comprehensive eye exam. Early detection is key in handling conditions like cataracts, glaucoma, and macular degeneration before they significantly affect your vision. Supporting Your Vision From the Inside Out Nutrition is a powerful way to maintain healthy eyes, but it works best as part of a complete eye care routine. Eating a variety of colorful, nutrient-rich foods can help keep your eyes functioning at their best for years to come. If you’re concerned about your vision or want to learn more about preserving your eye health, plan a visit with your eye care provider today.
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