Eyelid dermatitis

Eyelid dermatitis
SpecialtyDermatology
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Eyelid dermatitis is commonly related to atopic dermatitis or allergic contact dermatitis.[1]: 78  Volatile substances, tosylamide, epoxy hardeners, insect sprays, and lemon peel oil may be implicated, with many cases of eyelid contact dermatitis being caused by substances transferred by the hands to the eyelids.[1]: 78 

Types

There are two common forms of Eyelid dermatitis. Allergic contact dermatitis develops because of an allergic reaction that causes inflammation of the skin, such as pollen in a person with hay fever. Some cosmetic products or metals, such as nickel, are common causes of allergic skin reactions. Irritant contact dermatitis is caused by the eyelid coming into direct contact with a substance that damages the outer layer of the skin, such as certain types of makeup, soaps, and detergents. Other forms of dermatitis on the eyelids include atopic dermatitis is a form of eczema that can affect the eyelids, and seborrheic dermatitis which is a common condition that causes the skin to become inflamed and flakey. Seborrheic dermatitis often occurs on the scalp but can also affect oily areas of skin, such as the eyelids.[2]

Signs and Symptoms

Dermatitis on the eyelids causes inflammation of the thin, sensitive skin around the eyes. The eyelids become irritated, swollen, dry, and reddened. It can affect one or both of the eyes. If this condition continues, the eyelids can be thickened by lichenification. If it is caused by an irritant or allergen, symptoms typically occur within a few hours or days of contact with a trigger substance. Symptoms should decrease when the trigger substance is removed. [3]

  • Mild chronic eyelid dermatitis
    Mild chronic eyelid dermatitis
  • Severe chronic eyelid dermatitis
    Severe chronic eyelid dermatitis
  • Severe acute eyelid dermatitis
    Severe acute eyelid dermatitis
  • Eyelid contact dermatitis
    Eyelid contact dermatitis

Complications

Possible complications include skin infection, eye infection, and insomnia.

Causes

Allergens commonly causing allergic eyelid dermatitis consisted of fragrances, metals, neomycin, oleamidopropyl dimethylamine, tosylamide formaldehyde resin, benzalkonium chloride, and other preservatives.[4] Irritants for eyelid contact dermatitis include soaps and detergents, acids and alkalis, chemicals such as chlorine, dust particles, hydrophobic substances, and cosmetics such as eyeliner, eye shadow, mascara and sunscreen. These substances may touch the eyelids directly or be transferred from the fingers. Common items that are irritants and allergens include certain makeup brands, sunscreens, perfumes, swimming goggles, eye drops, false eyelashes, contact lens solution, and airborne particles.[5][6] [7]Age(infants are more susceptible), genetics, and poor hygiene of the skin are risk factors for eyelid dermatitis. Other risk factors include professions that expose you to an allergen, medications(Neomycin, Beta blocker), and other medical conditions such as asthma, hay fever, acne, psoriasis).

Prevention

The best way to stop eyelid dermatitis is to find the trigger and remove it. However, if that doesn't happen, there are several things you could do. Moisturizing the area to prevent excess scratching or itching is beneficial. Corticosteroids, can be directly applied to the eyelid as cream to reduce dryness and inflammation. Another medication is calcineurin inhibitors, which can be applied as a cream or orally. However, this should not be lightly used because it my suppress immune function.[8][9]

Treatment

Some ways to prevent eyelid dermatitis. includes avoiding scratching or rubbing the eyes, which may cause further inflammation and damage. Avoiding certain foods, moisturizers that contain triggers, wearing protective gear when necessary, moisturizing the area, using less makeup, and spending less time in the shower/using milder soaps and shampoos, are all effective ways to prevent a flare up of eyelid dermatitis.

See also

References

  1. 1 2 James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
  2. ↑ "Archive copy". Archived from the original on 2021-01-19. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  3. ↑ "Archive copy". Archived from the original on 2021-01-19. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  4. ↑ https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0536.2006.00927.x
  5. ↑ "Archive copy". Archived from the original on 2020-11-26. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  6. ↑ "Archive copy". Archived from the original on 2016-03-08. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  7. ↑ "Archive copy". Archived from the original on 2021-01-20. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  8. ↑ "Archive copy". Archived from the original on 2020-11-13. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
  9. ↑ "Archive copy". Archived from the original on 2021-01-15. Retrieved 2020-12-14.{{cite web}}: CS1 maint: archived copy as title (link)
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