What Does Eczema On The Eyelids Look Like
Do you have an irresistible urge to scratch your eyes? It could be eczema.
If your eyelids are red, swollen, at times oozing, and extremely itchy, then you have acute eczema. Sometimes the skin is simply dry and slightly red, but still itchy.
Eczema or allergic conjunctivitis?
It can sometimes be difficult to tell the difference between eczema and allergic conjunctivitis: in the latter case, eyelids may be a bit swollen and itchy, but the eye is red.
Eczema or psoriasis? Eczema patches are often thinner and their edges less defined compared to psoriasis. Click here for a summary of the major differences between eczema and psoriasis.
When Should I Go To The Emergency Department
Go to the emergency department right away if your eyelids swell up so much that you cant see. Unrelated to dermatitis, you should go to the emergency department if you have:
- Trouble breathing/shortness of breath, or if you stopped breathing for any reason.
- Severe chest pain or pressure.
- Any pain that is so severe that you cant stand it.
- Injury to your head, neck or spine.
- Loss of consciousness .
- Sudden weakness, especially if you cant speak or move.
- Dizziness that doesnt stop.
- Coughing or throwing up blood.
- Heavy bleeding.
- High fever that doesnt get better with medicine.
- Severe burn, electric shock or lightning strike.
- Stroke symptoms slurred speech, numbness, weakness, loss of balance and/or vision problems.
A note from Cleveland Clinic
Although eyelid dermatitis wont stop you from going about your daily activities, it is a nuisance. It can cause itching and sometimes pain, so its important to get checked out by a healthcare provider as soon as possible to keep the symptoms from getting severe. Try your best with the help of the people around you to figure out what may have caused the dermatitis. If you can figure that out and avoid the trigger, then you can prevent future flares. Around 15% to 20% of people experience contact dermatitis at some point in their lives, so know that youre not alone.
Last reviewed by a Cleveland Clinic medical professional on 10/25/2021.
How To Remedy Eczema On Your Eyelids
When most people think of eczema, they think of an itchy, red, skin rash on the arms, legs, or even on the face and scalp. What you may not realize is that for the nearly 32% of Americans who deal with eczema also called ectopic dermatitis its possible to get eczema on your eyelids. Eyelid dermatitis is a common condition.
Here at Specialists in Dermatology in Tucson, Arizona, our expert dermatology team diagnoses and treats all kinds of skin conditions, including eczema and eyelid dermatitis. If your eyes are itchy and swollen, or you have a rash on your eyelid, heres what you can do to remedy it.
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Whats The Outlook For People With Eyelid Dermatitis
Eyelid dermatitis is treatable. Your healthcare provider may prescribe medications to clear up the contact dermatitis. But the condition can come back. Its a good idea to try to figure out what caused it so that you can avoid the trigger.
When can I get back to my normal activities like work/school?
Dermatitis shouldnt keep you from going about your normal daily activities. If its so painful and annoying that it interferes with your work or keeps you up at night, be sure to tell your healthcare provider.
An Eye For Warning Signs Can Save Your Eyesight
If you have AD, its important to play close attention to your eyes. When an eye problem lasts more than a few days, make an appointment to see your dermatologist or eye doctor.
You should also have eye exams as often as your eye doctor recommends. Ophthalmologists are the experts at diagnosing eye disease. Caught early, the eye diseases linked to AD are highly treatable.
ReferencesHeiting G. Eye problems and diseases. AllAboutVision.com. Website last accessed January 31, 2018.
Leung DYM, Eichenfield LF, et al. Atopic dermatitis. In: Wolff K, et al. Fitzpatricks dermatology in general medicine. McGraw Hill Medical, USA, 2008:152.
Thyssen JP, Toft PB, et al. Incidence, prevalence, and risk of selected ocular disease in adults with atopic dermatitis. J Am Acad Dermatol. 2017 77:280-6.
All content solely developed by the American Academy of Dermatology
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Tree To Tub Ginseng Green Tea Night Eye Cream
We have all wished, at some point, for the perfect product for our sensitive eczema-afflicted eyelids. This product, with all its natural goodness, could just be the one that you are looking for. Its ingredients are all pH-balanced, which means that it isnt harsh and will not dry out the sensitive skin around your eyes and protect the skins barrier. Along with helping with your eye eczema, this cream also reduces wrinkles and dark circles. It contains a retinol-balance complex to help soothe irritated skin. With ingredients like hyaluronic acid, rose water, green tea extracts and amino acids, this cream actively works towards keeping your skin nourished and hydrated.
Common Symptoms Of Eyelid Dermatitis
With either type of eyelid dermatitis, you may experience symptoms in one or both eyes. Sometimes symptoms occur occasionally other times, eyelid eczema is chronic.
Common symptoms include:
- Red, scaly rash on your eyelids
- Itching and swelling around your eyes
- Pain or burning in and around your eyes
- Irritated skin
It may be hard to know whats causing these symptoms to flare up or become chronic, but its usually the result of an allergen or sensitivity to something in your environment.
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Skin Food Royal Honey 100 Hour Moisture Cream
Itchy eczema flare-ups can be one of the most uncomfortable things to deal with. But people with eczema can now rejoice as this eye cream is here to save the day. Honey, known as food for skin, is the main ingredient of this cream. Naturally hydrating, the honey ensures that the sensitive skin around your eyes is deeply nourished and hydrated. Along with honey, the cream that is safe for the eyes is also formulated with sunflower seed oil, macadamia seed oil, and aloe leaf juice powder among a host of other ingredients that lend it its hydrating properties, making it an effective moisturizing eye cream for dry skin and dark circles.
How Is The Diagnosis Of Allergic Eyelid Contact Dermatitis Made
Diagnosis of eyelid allergic contact dermatitis is made by identifying its characteristic features.
- An itchy rash that affects one or both eyelids
- This is most likely to occur intermittently at intervals of days to years
- Suspicion that it has been caused or aggravated by contact with an allergen .
- Patch tests to one or more suspected contact allergens are positive
Knowing the details of all substances that the skin may have been exposed to in skin care, hobbies and work are an important part of the detective work required to find the cause of a eyelid dermatitis. Patch tests should be arranged to establish or confirm the triggering allergen.
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Atopic Dermatitis And Genetics
Atopic dermatitis often runs in families. You might have a genetic mutation that makes you more prone to atopic dermatitis. With this mutation, your body doesnt produce enough of a protein called filaggrin which helps to keep your skin strong.
If you have other allergies, such as hay fever, you are also more likely to develop eczema around the eyes or other parts of your body.
The Cause Of An Itchy Eyelid Can Be A Diagnostic Puzzle But Persistence Often Uncovers Some Common Culprits
The Lids: A Special Challenge
|Figure 1. A patient with itchy, swollen, erythematous eyelids after using topical antibiotic solution post-cataract extraction.|
Common Culprits Ophthalmic solutions. Cosmetics.
|Figure 2. A patient with a history of chronic erythema, itching and puffiness of the eyelids. On patch testing, the patient was found to be allergic to fingernail polish.|
Nails. Metals. Hair dye.Approaching the Patient Patch testing.
|Figure 3. Patch testing performed on a patient’s back. Allergens are applied to the back and remain there for 48 to 96 hours. Ophthalmic preparations may not penetrate the back skin readily and may require high concentrations or erosions on the skin for increased penetration so that patch testing can be performed accurately.|
Treating the patient.Drs. Koo and Chang are in the Department of Ophthalmic Plastic, Orbital & Reconstructive Surgery at the Doheny Eye Institute, and Dr. Peng is in the Department of Dermatology at the University of Southern California, Keck School of Medicine. Contact them at 1450 San Pablo St. Los Angeles, Calif. 90033.1. Valsecchi R, Imberti G, Martino D, Cainelli T. Eyelid dermatitis: An evaluation of 150 patients. Contact Dermatitis 1992 27:143-7.2. Shah M, Lewis FM, Gawkrodger DJ. Facial dermatitis and eyelid dermatitis: A comparison of patch test results and final diagnoses. Contact Dermatitis 1996 34:140-1.
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Wrap Up In Cold Weather
Cold, harsh winter winds can dry out skin and cause eczema flares.
Keep the skin covered when temperatures are low. Also, consider covering the face with a scarf if eczema occurs on the face.
Many home remedies are suitable for babies and children, but always speak to a doctor before using them on kids of any age.
The following home remedies may help:
Is It Really Eczema
Eczema on the eyelid can be very itchy, just like eczema on other parts of the body. The skin can become pink or red, scaly and dry. It is very similar to eczema on other parts of the body but the biggest difference is that the eyelid skin is thinner than other parts of the body. It is very important to know what to apply on the eyelid.
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How To Treat Dry Flaking Eyelids:
If youre not sure whats causing your dry eyelids, the first step will be to check in with a dermatologist. They may want to conduct some patch testing to see if you have an undiagnosed allergy, Dr. Kassouf says. However, there are a few measures you can take on your own if youre having eyelid eczema and dealing with an excess of flakes.
1. First, simplify your skin-care and makeup routines.
Start by avoiding as many products as possible, keeping eyelids clean and dry and using just a bit of moisturizer, Dr. Kassouf advises. Once your eyes have improved, then you can restart one product every few days, she says. If irritation occurs, then you should be able to identify which product you are sensitive to and remove that from your routine.
Its also important to streamline your eye-makeup routine. Reassess whether or not you need to use all of those products, like primer, shadow, liner, and mascara, all of which have preservatives or even fragrance than can cause a reactionsometimes weeks, months, or years after beginning to use a product. All of these contain ingredients with potential irritants or allergens.
2. Swap eye creams for simple ointments for the time being.
Instead, opt for a simple emollient such as Aquaphor Healing Ointment or Vaseline during a flare-up, which Dr. Kassouf says can be easier on the eyes during periods of irritation. Something like Vaseline All-Over Body Balm Stick may be easier to take on-the-go, Dr. Zeichner says.
Eliminate The Most Common Causes Of Eyelid Eczema In Your Personal Care Products To Heal The Skin:
I have them wash their face with the VaniCream Cleansing Bar.
I have them moisturize their entire skin – including face and hande – with my hypoallergenic Natural Face, Hand and Body Lotion.
This allergen-elimination typically allows the eyelid skin to heal. We then wait and watch, trying to figure out what activity and exposure seems to trigger the rash.
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Concealer For Red Eyelids
Cosmetically I find Bobby Browns creamy concealer to be the most effective at hiding eyelid red spots if you need to go to a social event and dont want people asking you about the eyelids, apply it on top of all the above. Use a small brush lightly.
Make sure you put moisturiser before your put the concealer. The concealer will mix a little bit with the moisturiser and make it less dry.
Otc Treatments For Eye Eczema
There are plenty of over-the-counter and off-the-shelf treatments for eczema available at pharmacies.
If you develop eczema due to an allergic reaction, antihistamines can help you manage the itching and swelling.
Corticosteroids can also treat eczema itching, but using them around your eyes is risky .
Consult your doctor before trying any OTC treatment .
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What If Its Just Ridiculously Itchy
If its unbearably itchy, obviously its only a matter of time before you lose your willpower and start scratching, and thats why I understand its so annoying, when people who dont have eczema say just stop scratching as if it was that easy!
Thats why you have my unique solution. Something I came up with using some common sense doctors seem to have not.
You use a topical anesthetic cream, you know the ones that they use so that surgeons can cut you open. Unsurprisingly they are powerful itch removed duh!
Lidocaine cream is used for tatoo removal. A thin dab of this over your eyelids will remove any itching. For this to work you need surgery grade Lidocaine cream. Not a doctor here, but its completely safe as they use lots and lots of it in tatoo parlours. There are Lidocaine creams for mosquito bites at 3-4% its just way too weak to have an effect on extremely itchy skin.
For how to do this properly read my next section about the Ring Finger technique.
Another point: Rubbing your eyes all the time makes you look older faster. The skin around your eyes is so fragile that constant rubbing or stretching will create fine lines much earlier than when they should appear . I have the scars to show for this one. The same goes if you constantly have eczema around your eyelids. The skin here is just very very vulnerable.
How Do You Treat Eczema On Eyelids Naturally
There are many natural treatment options out there that people have tried. The choice is yours if you want to embark down the road, but it is a path less studied. Many treatment options offered by medical doctors have gone through rigorous research and testing. The same cannot be said of most natural, or alternative treatment options.
Personally, I have tried various oils such as coconut oil and olive oil. I did not have issues or side effects with these. On the other hand, I did not find them too helpful, so I stopped using them.
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How Is Eyelid Eczema Treated
The most important treatment is to figure out what caused the rash. That involves thinking about how the allergen or irritant got to your eyes. I target hair care products, face cleansers and face and hand products.
Usually, a day or two after contact, the rash starts. Then, it slowly builds up if you dont figure out the cause. To help sleuth out the cause, I remove some of the possible culprits I have patients use only hypoallergenic shampoo, face wash and moisturizers.
Contact Vs Atopic Dermatitis
Eyelid dermatitis most commonly presents in two key varieties:
In contact dermatitis, substances liquid, solid or gas can trigger contact dermatitis in the eyelids simply by touching them. Contact is most commonly made through:
Irritants Substances that trigger a change in the surface of the skin
Allergens Substances that set off an allergic reaction in the bodys immune system
The most common form of eczema, atopic dermatitis does not require direct contact with allergens or irritants. Instead, its most likely the result of genetics and/or immune system dysfunction. When some substances get inside the body, they can trigger an allergic reaction that shows up on the skin in the form of dermatitis symptoms.
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Who Gets Allergic Eyelid Contact Dermatitis
Allergic eyelid contact dermatitis can occur in anyone. It is no more likely in those with known sensitive skin or atopic eczema than it is in people that have previously had no skin problem.
Contact allergy usually develops after repeated previous contact with the allergen, so it is not necessarily a new substance that has triggered the allergy.
Treatment For Eye Complications Linked To Eczema
There are many creams and ointments for the treatment of atopic dermatitis, ranging from over-the-counter preparations to prescription corticosteroid creams, Seitzman says.
Never use any of these on the eye area without consulting a doctor, because, as research published in 2017 in the Journal of Current Glaucoma Practice suggests, the use of topical steroids may be associated with glaucoma, probably from the cream seeping into the eyes.
In some cases, your doctor or dermatologist may recommend treatment by an ophthalmologist.
Anytime inflamed eyes and eyelids are associated with decreased vision, an ophthalmologist should be brought in as part of the evaluation team, Seitzman says. When steroids are used around and in the eyes, it is very important for an ophthalmologist to follow along so that eye pressure can be monitored. Steroids can affect the eyes in several ways, and monitoring for these side effects requires specialized tools to measure and visualize eye health.
Ultimately, while eczema of the skin around the eyes can be challenging to control, with proper treatment it can be managed and you can protect your vision.
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