Blepharitis, Styes and Ocular Rosacea

Ocular rosacea is a common but often overlooked subtype that affects the eyes. It can cause significant discomfort and, if left untreated, can lead to more serious eye complications. Its symptoms frequently overlap with common eye conditions like blepharitis and styes.

Why eye symptoms occur

Ocular rosacea is caused by inflammation of the meibomian glands, which are tiny oil-producing glands along the edge of the eyelids. When these glands become blocked and inflamed, they can't produce the healthy oils needed for a stable tear film. This leads to evaporative dry eye, causing symptoms of grittiness, burning, and redness. This inflammation also creates an environment where styes (infected glands) and blepharitis (chronic eyelid inflammation) are more likely to occur.

Long-term lid care routines

Simple measures that can help include the following:

  1. Warm Compress: Apply a clean, warm flannel to closed eyelids for 5-10 minutes to help melt the hardened oils in the glands.
  2. Gentle Massage: Lightly massage the eyelids towards the lash line to help express the oils.
  3. Lid Cleansing: Use a dedicated, gentle eyelid wipe or cleanser to remove debris and bacteria from the lash line. Preservative-free artificial tears can also help with dryness. For persistent symptoms, oral tetracyclines may be required.

When symptoms are persistent I advise patients to arrange a consultation with an opthalmologist (eye specialist).

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Dr Magnus Lynch

About Dr Magnus Lynch

MA(Cantab) DPhil(Oxon) MRCS FRCP

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John's Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King's College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions.

My NHS practice is at Guy's Hospital. I consult with private patients at OneWelbeck (near to Bond Street station) and on Harley Street. Book A Consultation.

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