
Q My seborrhoeic dermatitis is spreading around my eyes and my eyes are frequently bloodshot and stinging. Is it safe to leave it alone?
A Seborrhoeic blepharitis (eyelid seborrhoeic dermatitis) can progress to chronic conjunctivitis and corneal damage if left untreated — specialist ophthalmological and dermatological treatment is essential. Do not rub the eyes, wipe away secretions with a dedicated eyelid cleanser, and if you experience redness, a foreign-body sensation, or vision changes, seek medical attention immediately.
Detailed Answer
Warning: Untreated seborrhoeic blepharitis can lead to chronic keratoconjunctivitis, corneal clouding, and vision loss. When yellow secretions, crusting, and redness appear at the eyelid margin, diagnose it as blepharitis and follow these standard treatments: ①warm compress followed by eyelid cleansing ②ophthalmologist-prescribed antibiotic eye ointment ③low-concentration cyclosporin eye drops if needed. If bloodshot eyes, pain, light scatter, or vision changes accompany the condition, visit an ophthalmologist immediately.
Korean Medicine Perspective
In Korean medicine, Liver-Fire (肝火) rising to the eyes is understood to cause inflammation around the eyelids. At Dongjedang, we combine prescriptions such as Yongdam-sagan-tang and Gyeolmyeongjia formulas that drain Liver-Heat to manage systemic heat alongside ophthalmological treatment. If you have eye symptoms, please see an ophthalmologist first.
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