Blepharitis Pediatric Care Plan

By David Shafran, MD
Medically reviewed
December 28, 2020

What is Blepharitis?

Blepharitis is inflammation of eyelids specifically either the oil glands on the inside of the lid or the roots of the lashes. It can occur in association with seasonal allergies, contact with an allergen, eczema, dandruff, psoriasis, or use of cosmetics. 

Symptoms of blepharitis include:

  • Swelling, itchiness and redness of eyelid
  • Redness in the whites of the eyes
  • A feeling of dryness
  • A gritty, burning sensation
  • Crusty eyelashes in the morning
  • Vision changes that improve with blinking
  • Increased tearing
  • Flaking or scaling of the eyelid

Blepharitis Diagnosis & Treatment

Blepharitis can be diagnosed based on history and physical examination. 

Treatment of blepharitis includes:

  • Warm compresses with a warm washcloth for 5-10 minutes 3-4 times a day
  • Eyelid massaging immediately after warm compresses
  • Eyelid washes gently clean around eyelashes with warm water of baby shampoo
  • Artificial tears

If symptoms persist or worsen, your child’s provider may refer them to an eye specialist

Check in With K If…

  • You have general questions about your child’s condition
  • You want general followup for your child
  • You have questions about supportive care
  • Your child’s symptoms don’t go away after treatment but are not alarming

See a Doctor in Person If…

  • Your child’s symptoms do not improve or worsen after 5 to 7 days of treatment
  • Worsening swelling and/or pain around the eye
  • Eye pain and pain with eye movement
K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.

David Shafran, MD

Dr. Shafran is a board-certified pediatrics physician. He joins K Health from the Cleveland Clinic, where he led a pediatrics practice and completed a fellowship in transplant ethics. He has completed multiple fellowships, including one in pediatric nephrology at Rainbow, Babies & Children's University Hospitals. He received his medical degree from the Sackler School of Medicine in Tel Aviv and completed his medical residency at the Jacobi Medical Center.