Ask an Ophthalmologist: Why is My Eyelid Itching?

Itchy eyelids can be caused by contact with allergens like dust and cosmetics, as well as sensitivity. Conditions like ocular rosacea, blepharitis, conjunctivitis, and styes are also culprits. Avoid scratching to ease itchiness. You can also use treatments like antihistamines, eye drops, and warm compresses. Persistent symptoms require a doctor, especially with accompanying redness, pain, or vision changes.

A variety of conditions can cause itchy eyelids, including:

Contact dermatitis causes eyelid itching when the eye encounters irritating substances such as:

These allergens trigger an allergic reaction on the skin of the eyelid. The skin responds with itchiness and redness. In some cases, they may develop a scaly rash due to the body’s immune response to the irritant. 

Atopic dermatitis , commonly known as eczema, affects the eyelids and other skin areas. Eyelid itching in atopic dermatitis is accompanied by: 

Eczema heightens skin sensitivity. This makes the eyelid more irritable from inflammation and the body’s immune response.

Ocular rosacea is a skin condition that can cause inflammation and sensitivity. Like eczema, it can affect the eyelids, leading to itchy eyelids as well as watery or bloodshot eyes. A burning or stinging sensation and light sensitivity may also occur.

Blepharitis is often linked to meibomian gland dysfunction or bacterial infection. Inflammation of the eyelid leads to itching from disrupted tear film and increased bacterial presence. These factors exacerbate the discomfort of your eye.

It’s common in those with: 

Blepharitis causes eyelid itching along with crusting. Tearing, redness, burning, and a sensation of something in the eye may also occur. 

Conjunctivitis ( pink eye) is a common infection caused by bacteria or viruses. Alongside pinkness in the white or inner eyes, it can lead to increased tear production. The condition may also result in white, green, or yellow discharge. Inflammation can irritate the eyelids, causing eye itching and discomfort.

Chalazion and hordeolum are styes resulting from a clogged oil gland or infected hair follicle. The inflammation and blockage lead to irritation of the eyelid skin and exacerbate the sensitivity of the eyelid, causing discomfort and itchiness. They can also cause swelling, redness, pain, and a calcified lump under the eyelid. What Should I Do to Stop Itchy Eyelids?

It’s crucial to avoid scratching or rubbing your itchy eyelids as this could lead to serious eye damage. Instead, opt for these gentle remedies to ease itchiness safely:

Taking antihistamine tablets can help reduce allergic reactions causing the itch, but can also reduce tear production. Anti-allergy eye drops can soothe and relieve irritation directly. Using artificial tears can help moisturize and refresh dry or irritated eyes. Eyelid scrubs remove irritants and debris. Warm compresses can reduce inflammation and itchiness. 

If you’re experiencing persistent or worsening eyelid itching, it’s essential to consult your eye doctor. Frequent or recurring itchiness could indicate an underlying issue that requires medical attention. 

Additionally, it’s crucial to schedule an appointment with your eye doctor immediately if you experience: 

These symptoms may signify a more serious condition or infection that needs prompt diagnosis and treatment to prevent potential vision damage or complications.

Itchy eyelids may stem from contact dermatitis due to allergens such as dust or cosmetics, heightened sensitivity from atopic dermatitis, or conditions like ocular rosacea, blepharitis, conjunctivitis, and styes. Refrain from scratching and use antihistamines, eye drops, and warm compresses to alleviate your discomfort. Consult your eye doctor if symptoms persist or are accompanied by redness, pain, or vision problems.

Baptist Eye Surgeons is an ophthalmological practice in Knoxville, TN, Morristown, TN, and Sevierville, TN. Call us at 865-579-3920 for more information or to schedule an appointment .

*This post has been updated since it was first published in February 2017 for clarity and comprehensiveness.