Cosmetics, lash extensions, and contact lenses can trigger blepharitis flares. They can introduce bacteria, block gland openings, and destabilize the tear film.
Makeup: The Safe Way
1. No "Tightlining": Never apply eyeliner to the "waterline" (the inner rim of the eyelid). This places pigment and wax directly over the openings of the meibomian glands, physically plugging them.
2. Toss It Out: Mascara tubes are breeding grounds for bacteria and mites. Replace mascara every 3 months, no exceptions. If you have an active infection, throw away all eye makeup and brushes immediately.
3. Ingredients to Avoid:
- Retinoids (Retinol): While great for wrinkles, retinoids can be toxic to meibomian glands and cause them to atrophy (die off). Avoid applying anti-aging creams near the eyes.
- Glitter: Tiny particles can flake off and get trapped under the eyelid.
- Waterproof Mascara: Requires harsh removers that strip natural oils. Stick to tubing mascaras or warm-water washable formulas.
Contact Lenses
Contacts act like a sponge, soaking up the inflammatory toxins on your eyelid margin and holding them against the cornea.
The Rules
- Switch to Dailies: Daily disposable lenses are sterile every morning. Reusable (monthly) lenses develop a biofilm of protein and bacteria that cleaning solutions cannot fully remove.
- Limit Wear Time: Reduce wear time to 8-10 hours max. Always wear glasses in the evening to let your eyes "breathe."
- During a Flare: Stop wearing lenses completely until inflammation is resolved. Continuing to wear lenses during a flare puts you at high risk for corneal ulcers.
- Peroxide Solutions: If you must use reusable lenses, use a hydrogen peroxide based cleaning system (like Clear Care) rather than multipurpose solution, as it is more effective at killing bacteria and contains no preservatives that end up in the eye.
Lash extensions and blepharitis
Lash extensions can worsen blepharitis by trapping debris near the lid margin and making cleansing more difficult. The adhesives can also irritate sensitive eyelid skin.
- During active flares: Avoid extensions until symptoms settle.
- Hygiene: If you keep extensions, clean the lid margin daily and avoid oil-based removers that loosen adhesive.
- Warning signs: Redness at the lash line, crusting, or itchiness are reasons to pause extensions and seek advice.
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FAQs
Can I wear contact lenses if I have blepharitis?
Often yes, but daily disposables and shorter wear times are safer, and stop during flares.
Is eye makeup bad for blepharitis?
It can trigger flares if it blocks glands or carries bacteria, so keep products clean and avoid the waterline.
How often should I replace mascara if I have blepharitis?
Every three months, and immediately after any eye infection.
What should I avoid if I have blepharitis?
Avoid tightlining, waterproof mascara, glitter, and retinoids near the eyes.
Can I wear eyeliner on the waterline?
No. It blocks the oil glands and worsens inflammation.