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Best Eye Treatments for Blepharitis and Ocular Rosacea

Rachel Vrabel Last Updated: January 11, 2017 5

*Please read my HUGE update at the bottom – one year after I wrote this*

So, this week I found out I have blepharitis stemming from ocular rosacea.  For a few years now I’ve wondered why my eyes were often red, dry and irritated looking.

Visine would temporarily give me a boost but after about 5 hours I would experience rebound redness which is even worse and it takes a few days to recover.

We all want those beautiful, white eye balls to show off our makeup. After all, your eyes are the first thing that anyone looks at when they meet you!

At first I thought maybe it was allergies, since I test so many beauty products to write about them, but my Dr. assured me it was not allergies (at least there’s that silver lining).

I decided to write about this because I know that many people probably suffer from this condition, and I wanted to share the eye cleansing routine that works for me, and also what products don’t inflame my already sensitive eyes.

What is Blepharitis?Eye creams for Blepharitis

If you’ve found this post, you probably already know what blepharitis is, but in case you don’t, I’ll explain.

Blepharitis is a common and ongoing condition where the eyelids become inflamed with oily particles and bacteria coating the eyelid margin near the base of the eyelashes.

This condition can cause redness and irritation, and stinging or burning of the eyes. My main symptoms have been red eyes and dryness of the eyes.

My Dr. determined that I have “posterior blepharitis” which is a dysfunction of the eye’s tiny oil glands in the eyelids at the base of the eyelashes.

Basically, he said that my eyes overproduce oils and under-produce tears. Not a good combination, so now I must use moisture drops for life and adhere to a strict lid cleansing routine.

Sometimes blepharitis can come with age, which makes sense since I’m 43, and sometimes it’s also hereditary. My mother also has blepharitis and eventually went on to have an eyelid surgery in her late 50’s. More for drooping eyelids, but it was causing problems and aggravating her condition.

What is Ocular Rosacea?

When my Dr. said the blepharitis may stem from having ocular rosacea, I looked at him like he had two heads. I don’t have rosacea of the face (where you can have a lot of redness and flushed skin). But apparently you can have rosacea of the eyeballs!

Ocular rosacea often develops in people who have rosacea, and sometimes ocular rosacea is the first sign that you may later develop the facial type. I’m not happy about that prospect!

So I’m still a little confused if one caused the other or vice versa, but I do know that I’ve improved my symptoms by doing what the Dr. said and it’s only been a few weeks, so I wanted to share my routine.

Eye Lid Cleansing Routinecleansers for blepharitis

  • Wash eyelids (not the inside of the eye, just the lids top and bottom) with Johnson’s baby shampoo mixed with a little water. I use cleansed fingers and also q-tips to rub the lash lines gently. Use a new q-tip for each eye.
  • Hot eye compresses for 5-10 minutes for morning and night, as hot as you can stand.eye cleanser for blepharitis
  • Use a lid scrub (you can do this instead of the baby shampoo) to wipe the lids clean.
  • I bought the OcuSoft Lid Scrub Plus which you can get at the drug store. I’m trying both to see which I like better, but so far I like the baby shampoo wash best.

Moisture Dropsblepharitis treatment

  • Use the preservative free moisture drops throughout the day (the ones in the individual droppers that you throw away).
  • I’ve been using Refresh Optive Advanced, or the Systane Balance. I did try the bottle type (which has preservatives) and it made my eyes sting, so I won’t use those anymore.
  • Also, stop and blink 20 times quickly every hour! This helps coat the eyelids and keep them balanced. If you’re staring at a computer screen all day, this is especially helpful.

Supplements to Reduce InflammationOmega 3 for Blepharitis

  • Take 2000-3000mg per day of Omega 3. This fights inflammation but can take months to take effect, but that’s ok because I’ve always known I was low on Omega 3’s and it’s great for skin!
  • I bought the Barlean’s Omega Swirl in Citrus Sorbet. This stuff is delicious!! It takes like a creamscicle – not even a hint of a fishy taste.
  • I plan on putting this in smoothies but it’s yummy enough to eat right off a spoon. I’ll take 2 tablespoons per day for 3,000 mg.
  • Flax Seed Oil or Ground Flax Seed – this is also a good way to get Omega 3. I happen to love putting a tablespoon of each in my smoothies so onfoods to fight inflammation those days I won’t take the swirl.
  • I like the Barlean’s brand of flax seed oil, and the Spectrum brand of the ground flax seed. All of these supplements I buy at Whole Foods and they are in the refrigerated section of the supplements.

Hypoallergenic Anti-Aging Eye Treatment

Having blepharitis made me question the anti-aging products that I use on my eyes. Obviously I can’t use products that are going to irritate my already sensitive eyes but I know that I can’t just leave my eyes with no moisture after doing hot compresses and washing with baby shampoo.

I’ve been using the Meaningful Beauty eye products and they haven’t irritated my eyes in the least bit. They are wonderful!

They are not only sensitive skin friendly, but they work well to reduce puffiness, smooth wrinkles and moisturize crepey eyelids. They are fragrance free and contain no harsh chemicals or botanicals. It’s worth checking out. I actually love the whole skin care line because my skin is just so sensitive.


Ok, so this is a super annoying condition!! My eyes got a lot better for a while, I followed the routine above, and then got slack after about six months. Boy was that a mistake! I think I had my worst flare up ever. I want new eyeballs!!! 😉

I had used visine (HUGE mistake) for a special event and then again the next day, and holy crap my eyes looked like I almost had pink eye, just horribly red, dry and irritated. The rebound redness is no joke.

I’ve learned that with this condition, you can’t ease up on anything. It’s chronic and there is no cure. You just have to keep your symptoms in check.

I’m back on a strict routine and have gotten things under control but there are some things my Dr. added that you may find beneficial. This was a NEW Dr. and I’m so glad I switched. My eyes have improved ten fold and my old Dr. didn’t recommend any of this stuff!

Meibomian Gland Expression – He put numbing drops in my eyes and used a tool to squeeze the lower lids. He said it was thick and came out like toothpaste – super gross. At least he got them a little “unplugged.” I’m going to ask for this EVERY TIME I go.

Lotemax Steroid Drops…this has been a Godsend but I know I can’t use it forever since it’s a steroid. It has made my eyes whiter than they have been in a very long time. During my flareup, I used 2x day for a couple weeks, now I’m at once per day in the morning.

Azasite 1% Azithromycin Eye Drops – I use this at night along my lower lids. At first it was a bit stingy so I would just put some on a qtip and gently apply to my inner lower lids. Now I can just pull my lower lid back and put a drop in. I like to do this JUST before bed, so I can just close my eyes. This will help fight infection which can all be a part of this blepharitis condition (bacteria builds up in those glands since they’re not flowing properly). During my flare up I used every night, now I’m at 3-4 nights per week.

Eyelid self massage – After doing the warm/hot compresses, gently massage your eyelids and push up underneath your eye towards your inner lid, and do the same on the top. Rub downwards. This will help express the clogged oil in your glands. You won’t “see” it coming out. Don’t do what I did and try to get aggressive with a qtip to squeeze stuff out. This broke some capillaries and made my eyes all red! I definitely overdid it in the beginning. Best to be gentle with everything!

Face Steamer – I bought a little Conair face steamer from Macy’s. I couldn’t find one in BBB or Target in store, but they do sell them online. Instead of hot compresses every night, about 3-4 nights I like to steam my whole face for 15 minutes. This will open up your meibomian glands and is great for your skin as well. I flutter my eyelids open and shut during the process. I also put a towel over my head to trap the steam in. Once you’re done steaming, you can do the eyelid massage. Once you’re done, be sure and use your wipes to cleanse your eyes as the massage and steaming will make the goop form in your eyeballs sometimes.

Fish Oil Supplement – I found that I wasn’t diligent enough to make a smoothy every day and use the flax seed or the Omega swirl. I just bought Barlean’s brand Fish Oil from Whole Foods and take 2 in the morning and 2 before bed. Remember, fish oil is anti-inflammatory and over time will reduce redness and swelling and make the oils in your eyes more fluid and healthy.

Makeup Changes – I actually quit wearing eye makeup for a whole week when I started this new regime. I threw out all my old makeup and brushes. Even though I cleaned them, you can’t kill all the bacteria in those brushes and I wanted a fresh start. I usually spend quite a bit on makeup and use Mac mascara. Instead I went out and bought all cheap makeup to use until this is under control. I bought Almay mascara and I’m going to throw it away and buy new one every couple of weeks. Mascara is the worst culprit to spread bacteria around your eyes. I love the Almay just as much as the Mac so apparently I’ve been over paying for mascara all this time! LOL Now I wear makeup again, but I wear NONE on my lower lids, not even mascara. Why bother irritating the most irritating part of my eyeballs…oh well!

Pillow cases – Wash them twice per week, bacteria builds up on pillow cases quickly.

Eye Mask To Sleep – My husband sleeps with the overhead fan on and a small table fan (yes, two) so the air flow was killing me. I bought one of those masks from BBB that has the concave eyes so it doesn’t touch your eyelashes. This helps my eyes from drying out over night. Sometimes I would wake up and could hardly blink because they were so dry!!

Humidifier – I bought a small humidifier from BBB and keep it next to my bed and leave it on low during the night.

Eye drops next to bed – First thing I do now when I wake up is put a drop of the Refresh Advanced Optive (the single use ones) in my eyes to freshen them up. They are always the most dry when I wake up.

Anti-inflammatory diet – So I’m trying to go more ketogenic which is an anti-inflammatory diet (high fat/low carb/moderate protein). Dr.’s say that blepharitis is a chronic condition that you can’t cure, but I think that’s B.S.! Western Dr.’s just don’t seem to want to consider diet, they just want to write those scripts. If you reduce the inflammation in your body, you’re going to have less inflammation in your eyes.  There is also a supplement I’ve been taking called Keto OS which is a ketone delivery drink that puts your body into ketosis which is exactly what the ketogenic diet does (fat burning mode). It fights inflammation in the body and it also helps you to lose weight and gives you energy. So, I think I’ve found the best possible work out supplement that I could possibly use especially for my eye condition. Every thing helps!

As you can see, this blepharitis condition is a huge pain in the ass! However, I’ve settled into a routine now and I just have to do it just like I have to brush my teeth.

Do you have blepharitis? I would love to hear about the treatments that work for you, leave comments below!

Beauty counter skin care reviewsOur Top Choice for Eyes – Beauty Counter Nourishing Eye Cream

Pamper the delicate skin around your eyes with Beauty Counter’s lightweight, soothing eye cream. Rich in aloe and organic coconut oil, the unscented formula is easily absorbed and offers an instant cooling moisture boost.

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I’ve been using the Nourishing line and I’m in LOVE. It’s very gentle, calming, and effective at perking up my eyes for a more youthful, supple look. Buy it separately or by the collection.

User Questions and Answers

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User Questions and Answers

Q: Wondering what Omega 3 capsules would be good for blepharitis. -Karen

A: Karen, if you don\'t like the sounds of the Barlean\'s Swirl I mentioned in my blog post, they also make capsules. I have both because I don\'t always feel like making a smoothie. You can find at Whole Foods or online I\'m sure. Rachel

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Q: Hi! How long did it take to go away? I was diagnosed with blepharitis first. Did warm compresses and lid scrubs. Got second opinion. Told it was ocular rosacea. Again, like yourself, never knew I had rosacea. Still doing warm compresses and lid scrubs but this has been going on since July, and I'm feeling pretty hopeless. Thanks! -Ursula

A: Hi Ursula, thanks for your question. This is a frustrating condition! I\'ve gotten pretty good at keeping mine under control by sticking with my routine.  The daily hot compresses and using those moisture drops are key, and using a gentle cleanser or the baby shampoo.  I wash my face daily with a washcloth so I just spend a minute extra doing the warm compresses, and again at night. Never go to bed with any eye makeup on. My eyes still get a little red sometimes but not as bad as before. I never, ever use visine anymore because that makes it worse. Rebound redness. I also have to be careful which makeup I use. Mac eyeshadow, eyeliner and mascara don\'t bother me in neutral colors.  If I run out of drops for a day or two, I really start feeling it. Gotta keep using them twice a day. My eyes are never bright white, but the redness from my initial flare up has gone down. I didn\'t like the lid scrubs personally, I prefer the baby shampoo or I can use my Lifecell facewash right on my eyes since it\'s very gentle. Good luck! Rachel

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Q: You state that "Basically, he said that my eyes overproduce oils and under-produce tears. Not a good combination,...". I was told the exact opposite, that my eyes over produce tears (which are drying) and under produce oil. My oil glands get clogged, which causes the oil to accumulate in the lids. This causes the swelling in the lids and eventually the oil glands respond by underproducing. TY for the info! -Jill

A: Hi Jill, blepharitis is a huge pain in the butt! I went from a Stage 3 (bad) blepharitis to a Stage 1 in about one month following all the things I said I was doing in my review. It\'s tedious but it works! Many of my oil glands went from being clogged to open. The hot compresses and lid massage are key, and for me so is the Lotemax for inflammation. Also eating a ketogenic diet has helped tremendously since it\'s an anti-inflammatory diet, plus you lose weight;) Good luck, this is not a fun condition. I don\'t even wear makeup on my lower lids any more AT ALL, not even mascara. Rachel

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Q: I use baby shampoo on my lids but find there red and itchy. What should I use -Laurie

A: Laurie, try the Aquaphor Baby Wash & Shampoo instead of Johnson & Johnson\'s. It has no added fragrance or coloring, it\'s great! I actually think J&J is horrible for the eyes now that I\'ve stopped using it. Good luck! Rachel

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5 Comments »Leave A Comment

  1. Rahul March 26, 2017 at 9:11 am - Leave A Comment

    Blepharitis Treatment : Apply pure honey on eye lids before sleeping at night just like Kajal ( COLLYRIUM ) and wash it with luke warm water in the morning.
    Even if Honey goes inside eyes no issues. it will automatically come out with water there by cleansing it !
    Check for purity of honey (without sugar): the eyelids wont be very sticky that you will find it hard to open , when you apply a pure honey.
    I am using the honey treatment and its very effective.
    Note : you can also add a pinch of turmeric (haldi) in honey and make a paste for applying on eye lids
    Thanks !

  2. Diane November 24, 2016 at 1:44 pm - Leave A Comment

    Hi Rachael!!
    Thank you for all your advise !! I follow the same routine as you . When I run out of eye drops I discovered if you have a half cup of warm water with a 1/4 teaspoon of baking soda you can rinse your eyes with this solution and it will sooth your eyes without irritation .. great for a temporary solution!!! Thx for your advice I think I might try your suggestion on eye cream as I’ve tryed every expensive and inexpensive cream for my eyes and just simply gave up because they all irritate .. Wish me luck !! Diane from CT..

  3. Rheanne November 15, 2015 at 4:13 am - Leave A Comment

    Thanks for sharing this. I also suffer from blepharitis and I’ve been looking for a good Omega 3 supplement, I will try the Barlean’s brand. Are you able to wear makeup over the Elite Serum and does it help for wrinkles around the eyes? I have to wash so much the skin around my eyes has become very dry.

    • Rachel Vrabel
      Rachel Vrabel November 15, 2015 at 4:32 am - Leave A Comment

      Hi Rheanne, thanks for your question. I’ve actually been using Elite Serum for over a year now, so I know it works to reduce wrinkles and provide moisture to the delicate eye area. When I first had my flare up, I stayed away from makeup for about a week, but I did go back to using it and haven’t had another flare up. After the lid cleansing routine, I just lightly pat the Elite Serum under my eyes and on my eyelids, allow it to dry for a couple of minutes and then apply my makeup as usual. Another thing you’ll want to do is routinely clean your eyes shadow brushes to remove bacteria.

    • Rachel Vrabel
      Rachel Vrabel February 8, 2016 at 4:18 am - Leave A Comment

      Rheanne, yes the Elite Serum does wonders for wrinkles around the eyes, and it’s as gentle as water. You can apply your makeup as normal and it won’t ever run into your eyes or feel irritating. I know what you mean about dry skin around my eyes from washing and hot compresses – I reapply small dabs of eye serum even over my makeup sometimes for added moisture.

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