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A small blister has developed at the base of the eyelashes on the upper eyelid.

Feb 24, 2023 Source: Cainiu Health
Dr. Cui Xin
Introduction
A small blister near the base of the eyelashes on the upper eyelid may be caused by allergies, eyelid eczema, blepharitis, viral conjunctivitis, or herpes zoster ophthalmicus. It is recommended to seek treatment targeting the underlying cause. Patients should visit a hospital for appropriate examinations and receive suitable therapy accordingly. Additionally, maintaining good eye hygiene and avoiding eye strain can help promote recovery.

　

　　A small blister growing at the base of the eyelashes on the upper eyelid may be caused by allergies, eyelid eczema, blepharitis, viral conjunctivitis, or herpes zoster of the eyelid. It is recommended to treat according to the underlying cause.

　　1. Allergy

　　Allergic reactions to airborne fungi, pollen, or other allergens can lead to skin allergies on the eyelid, possibly resulting in small rashes or blisters, accompanied by itching, stinging, or other discomforts. Following medical advice, taking antihistamines such as dimenhydrinate tablets, promethazine hydrochloride tablets, or ebastine tablets may help improve symptoms.

　　2. Eyelid Eczema

　　When the eyelid area comes into contact with airborne irritants such as dust or pollen, or when there is an allergic reaction to ingredients in eye creams, inflammatory responses in the eyelid skin may occur. It is recommended to follow medical advice and apply topical medications such as hydrocortisone butyrate cream, pilocarpine eye drops, or tacrolimus eye drops to relieve ocular discomfort.

　　3. Blepharitis

　　Poor eyelid hygiene or infection with Staphylococcus aureus can lead to blockage of meibomian gland openings, causing sterile inflammation due to inflammatory irritation. It is recommended to use anti-inflammatory medications such as levofloxacin eye drops, gatifloxacin eye drops, or erythromycin eye ointment as directed by a physician to manage symptoms.

　　4. Viral Conjunctivitis

　　After the conjunctiva becomes infected with a virus, increased and sticky eye discharge may occur. When oily secretions accumulate at the meibomian gland openings, small blisters may form at the base of the eyelashes. Antiviral treatment using ribavirin eye drops, acyclovir eye drops, or ganciclovir eye drops should be administered under medical guidance.

　　5. Herpes Zoster of the Eyelid

　　Infection of the eyelid with varicella-zoster virus causes herpes zoster of the eyelid, leading to clear small blisters, redness, swelling, and other discomforts in the affected area. Following a doctor’s instructions, oral antiviral medications such as acyclovir tablets, famciclovir tablets, or valacyclovir hydrochloride tablets can help improve the condition.

　　It is advisable to visit a hospital for appropriate diagnostic evaluations and receive suitable treatment. Additionally, maintaining good eye hygiene and avoiding eye strain can aid in recovery.


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