Dermatitis occurring on the eyelids can be of different types.
1. Atopic dermatitis on eyelids, or eczematous dermatitis of eyelid. Like all other types of eczema, it can be caused by a number of factors, including stresses and disfunctions of the immune system.
2. Seborrheic dermatitis on eyelids. Its causes can also vary. Without treatment it can develop into blepharitis.
3. Contact dermatitis on eyelids, or allergic dermatitis. Common cause of allergic eyelid dermatitis is the use of cosmetic products that provoke an allergic reaction. Since the dose of allergen penetration into the body is very low, the reaction may be delayed and occur only in a few days after the use of the product.
4. Medicinal eyelid dermatitis. It can be acute or chronic. The disease can be provoked by drugs with high allergenic action, such as penicillin, dicainum, streptomycin etc. In fact, drug dermatitis is also an allergic reaction of the body, but it has an acute form.
The disease is characterized by such symptoms as hyperemia of eyelids skin, swelling, rash (sometimes bullous), headache, weakness, fever, itching. Quite often allergic conjunctivitis develops.
Drug Eyelid Dermatitis
Drug dermatitis on eyelids can occur in two forms: acute and chronic. Depending on the degree of pre-sensitization of the eyelid skin the disease develops more or less rapidly. In case of severe sensitization to the medicament with a high allergenic action such as penicillin, streptomycin, dicainum etc. during the first 6 hours after the beginning of the allergic reaction occurs increasing hyperemia and swelling of eyelids, often with vesicular and even bullous rash. By touch the skin is hot, dry, calloused, or sometimes, on the contrary, weeping. Development of concomitant allergic conjunctivitis is possible, acute conjunctival swelling results in the complete closure of the eye fissure. Copious discharge of sticky clear liquid causes maceration of the skin at the corners of the eye fissure. Eyelid skin damage is accompanied by headache, chills, general weakness and severe itching of eyelids.
Similarly progresses contact, or allergic dermatitis associated with the use of any cosmetics (makeup, lotions, creams, exfoliants etc.).
Chronic Drug Eyelid Dermatitis
Chronic drug eyelid dermatitis develops slowly and has a protracted nature: eyelid skin with a little smelling and hyperemia at first gradually thickens, it becomes dry, wrinkled, with eczematous areas, maculopapular or papulovesicular rash. The period of clinical manifestation is preceded by numerous subjective complaints of itching, stinging, burning sensation in the eyes. Eyelid damage is always symmetrical.
Dermatitis of the eyelid most often develops when drugs are administered into the conjunctival sac or applied on the eyelid skin in cases of the use of ointments (erythromycin, streptocide, sulfacyl, yellow salve, tetracycline etc.). Localization of lesions in some cases depends on the dosage form of the drug used. For example, ointments often cause diffuse lesion of eyelid skin, while drops cause angular dermatitis.
Eczematous Eyelid Dermatitis
Eczematous dermatitis of eyelid skin and seborrheic dermatitis and blepharitis without conjunctival lesions are a rarer form of allergic reaction. They may develop after long-term use of antibiotic, antiviral and sulfanilamide ointments and drugs. Eyelid eczema may be exogenous (maceration of the skin with tears, drugs influence) and endogenous (diathesis, gastrointestinal diseases, worm infestation, immune disfunctions, etc.), but the allergic component is often present.
Eczematous dermatitis can affect the skin of one of the upper or lower eyelid or both eyelids of one eye. Typical symptoms of eyelid dermatitis are observed: redness, swelling, vesicular rash on the eyelids, formation of pustules and scabs that burst, are torn and open weeping surface; pain, painful itching are also acute. Sometimes eyelid dermatitis begins with swelling and inflammation of the eyelid margins, but scales and ulcers that occur in case of the ordinary blepharitis are absent.
Eyelid Dermatitis Pictures
Eyelid Dermatitis Treatment
Of course, dermatitis on eyelids requires consultation with a dermatologist. The doctor will help you to correctly define the causes of your problem and prescribe you necessary treatment. Medical observation will allow you to avoid complications, that is necessary given the fact the disease affects your eyes and complications may include vision damage.
Usually, eyelid dermatitis treatment has several phases:
- identifying the allergen: remove the drug that caused the allergy;
- desensitizing therapy: prescribe desensitizing drugs ingestion;
- external treatment: lubricate the eyelid skin eye with hydrocortisone ointment. In case of weeping eczema, hydrocortisone cream and zinc paste are applied around the weeping surface;
- supporting treatment: hepatoprotective therapy, bowel purgation and body purification.
How to Treat Eyelid Dermatitis at Home
If you want to ease the symptoms or are not able to see a dermatologist, you can follow several pieces of advice on how to treat eyelid dermatitis. Among the most popular home remedies are:
- Decoction of hops and tickseeds (Bidens). To prepare it cover 1 teaspoon of tickseeds and hop cones with 150 ml. of boiling water, decoct and strain. Apply gauze soaked in the decoction to your eyelids as a compress for 15-20 minutes. You can drink the warm infusion once a day before meals or before going to sleep.
- Aloe mixture. Aloe, among all its useful properties against different skin problems, is a perfect treatment for eyelid dermatitis. Mince 200 g of aloe leaves and leave them for 12 days in a sealed container in the refrigerator or a dark place the temperature of which does not exceed 6 degrees. After this period, add to the resulting emulsion 150 g of castor oil and ¼ cup of dry red wine and mix all the ingredients thoroughly. Use it in the form of applications on the eyelids. To do it you need to put this mixture to the gauze (the layer should be about 1 cm thick) and apply to your eyelids for 15-20 minutes. After the procedure, wipe your skin with a wet towel.
- A mask of aloe will relieve pain and promote healing of the eyelid skin. To make it mix 1 teaspoon of aloe juice with 1 teaspoon of castor oil and eucalyptus oil, stir and apply to your cleansed skin. In 20 minutes remove the mask with a napkin.
- Celandine juice infusion. Mix celandine juice (squeezed by yourself or purchased at the pharmacy) with vodka in a ratio of 1: 1. Leave for 2 days in a dark and cool place. Soak a cotton ball with the resulting infusion and wipe your eyelids 2 times a day and before going to sleep. Repeat the treatment for 3 weeks.