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Eyelid dermatitis, also called eyelid eczema and periocular dermatitis, is inflammation on the folds of the eyelid caused by an allergen or irritant, resulting in itchy, red, and scaly skin.
Eyelid eczema develops when a person’s immune system reacts to a chemical or antigen that touches the skin, triggering an overactive immune response and inflammation.
It is estimated that 20% of the general population is affected by contact dermatitis, including eye dermatitis, making it a common skin condition for children and adults.2
Finding the cause and environmental triggers of eyelid dermatitis is the first step in treating periorbital dermatitis. It can be challenging and requires an elimination approach.
Since the eyelids are thin and delicate, they are susceptible to allergens and irritants. Eyelid dermatitis affects the upper and lower eyelids of either one or both eyes.
Common symptoms of eyelid dermatitis include:
There are various types of eyelid dermatitis depending on what substance is causing the immune response and skin inflammation. The most common types of eye eczema include irritant contact dermatitis, allergic contact dermatitis, seborrheic dermatitis, and atopic dermatitis.
Irritant contact dermatitis occurs when an irritating substance causes damage to the outer layer of the skin. It does not involve the immune system.
Common irritant triggers that cause contact dermatitis include:
Symptoms of irritant eyelid contact dermatitis typically include:
Allergic contact dermatitis is an allergic reaction to a substance that triggers a hypersensitive immune response resulting in inflammation and an itchy rash.
Common triggers of allergic contact dermatitis include:
Symptoms of allergic eyelid dermatitis include:
Atopic eczema is a chronic (long-lasting) skin condition caused by an overactive immune response, environmental triggers, stress, and genetics. Unlike other types of dermatitis, atopic eczema is not caused by one thing. There is no cure for atopic dermatitis.
Atopic dermatitis affects 1 in 10 Americans and is prevalent among children. Eczema flare-ups can lead to sleepless nights, low self-esteem, and depression.9
Common causes of atopic dermatitis around the eyes include:
Similar to contact dermatitis, atopic eczema starts with extreme itching followed by:
Seborrheic dermatitis reacts to a type of yeast naturally on the skin. Seborrheic dermatitis is often associated with the scalp (a cause of dandruff and cradle cap) but can also affect the eyelids.
Seborrheic dermatitis is triggered by hormones and various health conditions, including:
Eyelid symptoms caused by seborrheic dermatitis include:
Eyelid dermatitis frequently runs in families and can happen at any age. However, certain factors can increase your risk of developing eyelid dermatitis, including:
While eyelid contact dermatitis typically resolves when the environmental trigger is removed, atopic and seborrheic dermatitis is chronic, with flare-ups coming and going.
It is essential to seek medical care from a dermatologist or primary care doctor if eyelid dermatitis symptoms are affecting the quality of life, including:
Eyelid dermatitis is diagnosed by a primary care physician, dermatologist, allergist, or eye specialist.
They will take a detailed medical and family history during the appointment and ask you about symptoms. It is good to write down or keep track of flare-ups and possible triggers to discuss with the doctor.
Various skin tests diagnose eyelid dermatitis and determine what type of eczema is causing symptoms. Standard skin tests include:
The first goal of treating contact eyelid dermatitis is to eliminate the allergen or irritant causing symptoms.
Additional goals of eyelid dermatitis treatment include:
Gentle skin care, medication, and trigger management are the gold standard in treating eyelid dermatitis.
Common treatments for people with contact and atopic eyelid dermatitis include:
If left untreated, eyelid eczema can affect the quality of life and lead to poor health outcomes, including:
While it may be challenging to get rid of eyelid eczema completely, there are ways to prevent and minimize symptoms while managing the itch-scratch cycle, including:
Eyelid dermatitis flare-ups are painful, irritating, and inconvenient. However, topical medication, trigger management, and a consistent skin care routine can minimize symptoms and help prevent flare-ups.
Working with a licensed dermatologist is key to getting eyelid dermatitis under control.
Eyelid dermatitis is a common form of eczema resulting in inflammation of the eyelids. It can be caused by allergens, irritants, genetics, and health care conditions such as asthma and food allergies. Symptoms include itchiness, rash, burning, and scaly skin.
Pinpointing and eliminating triggers is the goal of treating contact dermatitis. Treatment includes a combination of a gentle skin care routine, trigger management, and topical medications. Working with a dermatologist or allergist can help you customize a successful treatment plan.
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