The crusty, grainy, or scaly appearance at the base of the eyelashes is the most common finding in blepharitis. This is the classic appearance of blepharitis involving the outer angle of the eyelid, called angular blepharitis. Chronic blepharitis can lead to misdirected eyelashes, misshapen eyelashes, and loss of eyelashes (trichiasis).
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Blepharitis  Information for adults

Picture of Blepharitis: The crusty, grainy, or scaly appearance at the base of the eyelashes is the most common finding in blepharitis. Divider line
The crusty, grainy, or scaly appearance at the base of the eyelashes is the most common finding in blepharitis.
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Self-Care Guidelines
  • Apply frequent warm, moist compresses.
  • Clean the eyelids with baby shampoo and a wet cotton ball.
  • Practice good hygiene of the face and scalp, including use of antidandruff shampoo, if needed.
  • Make sure all makeup is removed daily.
  • Avoid any irritants that might cause blepharitis.
  • Keep underlying conditions controlled (eg, diabetes and acne rosacea).

When to Seek Medical Care
  • Pain is increasing.
  • Vision is worsening.
  • Swelling is increasing.
  • The eyelids become hot to the touch.
  • The condition is not getting better within a week despite self-care.
  • There is blistering and/or rash on the eyelids.
  • There is development of a lesion (bump or growth) on the eyelid that does not respond to the warm compresses.

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Last Modified: 22 Dec 2008
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