Clinical recommendationEvidence ratingReferences
Allergic contact dermatitis of the eyelids should be treated with low-dose topical steroids for five to 10 days.C1
Eyelid atopic dermatitis should be treated with oral antihistamines; moisturizers; and low-dose, short-term topical corticosteroids. Only low-dose topical corticosteroids should be used on the eyelids to avoid skin atrophy.C1, 31
First-line treatment of blepharitis consists of eyelid hygiene and systemic tetracyclines in patients with meibomian gland dysfunction.B35
Mild preseptal cellulitis in older children and adults often can be treated on an outpatient basis with broad-spectrum oral antibiotics and close follow-up. Treatment of orbital cellulitis requires ophthalmology consultation, hospital observation, and broad-spectrum intravenous antibiotics.C38, 39, 41
Treatment of ocular rosacea includes oral tetracyclines and topical metronidazole (Metrogel) or azelaic acid gel (Finacea).B4547