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An_255660 posted:
At first I had just a very small area on my right eyelid that felt itchy. Within about two weeks it was red, itchy, scaly/flaky, with a mild burning sensation. After about 3 months it nearly went away, but it didn't. It came back stronger, covered the entire right eyelid including all the area up to the eyebrow. Now the stuff is starting on my left eyelid. I'm starting to look like --- hell. I finally got an appointment with a doctor coming up in 5 days, but I have been spending a lot of time researching this crap. Eczema, Seborrheic Dermatitis, Psoriasis of the eye, Allergic eyelid oedema, Lupus of the eye --- I don't think it is any of these. I am really leaning toward Blepharitis. The thing is, though, there is no build up by the lashes. The red, dry, flaky, is all pretty much evenly spread from the lashes to the brow. Only once was my eye really puffy in the morning. I thought I had been bitten by a spider. The swelling went down in a few hours. This picture is how it started, but now it covers the entire right eye and is starting on the left. Any ideas?

Alan M Kozarsky, MD responded:
Looks pretty uncomfortable and annoying.

Sometimes the best thing to do is "nothing", at least to start. Nothing means to stop all cosmetics that go anywhere near the eye, any treatments (prescription and over the counter), any lubricants or soaps, everything. So many times this type of reaction is a contact dermatitis response and eliminating the source of the hypersensitivity response will do the trick. Also common is using various reactive and preserved products to "treat" the problem that actually make it worse.

So, discontinue all products and all measures which may be producing a contact dermatitis type eye lid reaction. A visit to the doctor is wise and perhaps, under good medical supervision, a steroid preparation might be used to speed up the resolution.
mrquigley responded:
First, I am a male and do not use makeup. Second, I tried the "elimination process" to no avail. Soap, shampoo, laundry detergent, diet, etc. No change. So I researched the begeebers out of the condition and finally did boil it down to blepharitis or possibly an allergic reaction to something I am unaware of. Most common treatment: hydro-cortisone. Worked like a charm. Nearly completely cleared up in just a few hours. The condition, however, is rather persistent. If I let it go without the hydro-cortisone a couple days it starts to come back. Just the tiniest dab of the "1% H cream" and it is gone in minutes. I suspect that it will eventually disappear without me ever discovering the true cause. I'll be interested to see what happens when it warms up and I can turn the forced air heat off. In the meantime, the symptoms are easily manageable. And thank God, as it had spread to both eyes it was really quite the irritant. Burning, dry, scaly, itchy and ugly. I now keep a tube of the H in the car and at home, but I use it less than 5 times a week.
erins88 responded:
This is exactly what im experiencing. It started on my left eyelid and worked its way over to the right eye just when I thought it was going away. It goes away for a few months at a time and im just realizing that usually it goes away in summer...hmmm
mrquigley replied to erins88's response:
Cool. The hydrocortisone works great and almost immediately. I bought a tube of 1% for a dollar. Just a very small teeny weeny tiny dab is all you need. Get rid of that ugly eye today. LOL - It really was ugly.

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