Blepharitis and Dry Eyes: What’s Causing Your Sore, Itchy Eyelids?

• Post Date : July 3, 2025
• Eye Health ,  Ophthalmology
• 4 minutes read

Do your eyelids feel sore, itchy, or stuck together in the mornings? You might have blepharitis, a common condition that causes inflammation around the edges of your eyelids. It’s usually not serious but can be uncomfortable and frustrating.

How Is Blepharitis Linked to Dry Eyes?

Blepharitis and dry eyes are very closely linked conditions, often existing together and influencing each other. Whilst they are distinct conditions, they frequently form a ‘vicious cycle’ that exacerbates symptoms.

Your eyelids have tiny oil glands that produce a protective oily layer to keep your tears from drying out too quickly. When you have blepharitis, these glands can become blocked or don’t work properly, causing your tears evaporate too fast, which leads to dry eyes. This can lead to:

• – Sore, gritty, or burning eyes
• – Watery eyes (your body’s way of trying to stay moist, even though the tears aren’t working well)
• – Blurred vision that comes and goes

It’s important to remember, even if your eyes water, they may still be dry underneath. It is common that people with dry eye also have blepharitis.

What Are the Symptoms of Blepharitis?

There are several symptoms which will vary for everyone, but things to look out of are:

• – Red, swollen, or itchy eyelids
• – Crusty eyelashes, especially in the morning
• – Dry or watery eyes
• – A gritty, burning, or sticky feeling
• – Blurry vision that clears when you blink
• – Feeling like there’s something in your eye
• – Sensitivity to light

Symptoms are usually worse in the morning, while dry eye symptoms may get worse as the day goes on.

Can I still wear makeup if I have blepharitis?

The good news is, if you want to wear makeup you can, but there are some steps you should take to help protect your eyes, these are:

• – Avoid makeup during flare-ups, especially eyeliner and mascara.
• – Use gentle, hypoallergenic products once your eyes feel better.
• – Always remove makeup fully before bed.
• – Don’t apply eyeliner on the waterline (inner eyelid).
• – Replace mascara and eyeliner every 3 months.

Remember, if you’re unsure you can ask your optician or pharmacist which products are safest for you and your condition.

Is Blepharitis Treatable?

Yes, blepharitis is treatable. Both blepharitis and dry eyes usually need daily care to manage symptoms because it’s often a long-term condition.

Here are a few tips from our Optometrists that might help relieve your symptoms:

Warm compresses: Soak a clean cloth or cotton pads in warm (not hot) water, wring it out, and place it over your closed eyes for 5–10 minutes. The warm moisture helps loosen crusts and helps open blocked glands.

Eyelid cleaning: After the compress, gently clean your eyelids using warm water with a little baby shampoo or a special lid cleanser. Use a clean cotton pad or cloth to wipe along your lash line twice a day, even when your eyes feel better.

Lubricating eye drops: Over-the-counter artificial tears can ease dryness and irritation.

Additional tips:
• Avoid eye makeup during flare-ups to prevent further irritation
• Avoid rubbing or touching your eyes.
• If symptoms persist or worsen, see your eye care professional for further treatment options, such as prescription medications or antibiotic ointments

When Should I Get Help for Blepharitis?

Blepharitis and dry eyes are common but don’t just suffer through them. If home care doesn’t improve your symptoms after a few weeks, book an appointment with your optician or GP. They can suggest other treatments like antibiotic drops or special medications. With the right care and advice, you can keep flare-ups under control and feel more comfortable every day.