7 Best Eyelid Washes for Your Blepharitis: Which Cleanser is the Best?

What Makes a Good Eyelid Cleanser for Blepharitis?

Blepharitis, meibomian gland dysfunction, and associated dry eye syndrome affect 30 million Americans.  Due to this staggering amount of people that need help with eyelid disease, a flood of new products have come to the market in recent years.  

Blepharitis is most commonly caused by bacteria that naturally live on the eyelids and become overpopulated.  Once they are overpopulated, they create multiple symptoms including a mucousy discharge, which shows up as your eyelids being stuck shut in the morning.  A second blepharitis symptom is inflamed, red eyelids, which can then lead to irritated, dry eyes.   

So what makes a good eyelid cleanser for blepharitis? 

A good eyelid cleanser should help reduce this bacteria load on the eyelids, while calming the red, inflamed eyelids and dry, irritated eyes at the same time.  In addition to this, the cleanser should be gentle on your sensitive skin.

Here, I put together the top seven eyelid scrubs and eyelid washes to help you soothe blepharitis, MGD, and dry eye symptoms.  

Top 7 Eyelid Cleansers for Blepharitis

1. Heyedrate Lid & Lash Cleanser

Released in June 2017, Heyedrate Lid & Lash Cleanser is one of the first over-the-counter hypochlorous acid sprays to come to the market, with comparable ingredients to Avenova at number two on this list.  

This natural, non-detergent based spray is perfect for deep cleaning the skin, which makes it great for soothing any skin irritation you have such as cuts, scrapes, eyelid bumps, irritated eyes, redness, swelling, burning, itching, or crustiness of the eyelid margin.   

Hypochlorous acid also helps fight contaminants on the skin and mucous membranes therefore helping reduce the bacteria on your eyelids.  

This is my "go-to" product for my patients in my clinic currently.  It is very gentle and I have had great success with my patients. 

3 Ingredients for Heyedrate Lid and Lash Cleanser

  • Pure Hypochlorous Acid, 0.015%
  • Electrolyzed water (H2O)
  • Sodium Chloride (NaCl)

Safety Profile for Heyedrate Lid and Lash Cleanser

  • Safe for contact with skin, eyes, and for ingestion

Shelf Life for Heyedrate Lid and Lash Cleanser

  • 2 years after date of manufacture
  • Remove eye makeup with a tea tree oil eye makeup remover
  • Wash face with a tea tree oil bar soap and dry
  • Close eyes and spray directly onto your eyelids
  • Let dry, no rinsing required
  • Alternatively, you can spray on a cotton round and gently rub across your eyelid margin
  • Repeat for the other lid
  • Leave on for best results
  • No rinsing necessary

Where can I buy Heyedrate Lid & Lash Cleanser? What is the price of Heyedrate Lid & Lash Cleanser?

Heyedrate Lid & Lash Cleanser

2. Avenova

Avenova is the first prescription, FDA-approved, non-detergent based, non-antibiotic product shown to be successful in the treatment for such common eye conditions as blepharitis, meibomian gland dysfunction, and associated dry eye syndrome.   

It's main ingredient is hypochlorous acid, similar to Heyedrate Lid and Lash Cleanser above, and it's great at fighting bacteria on the eyelid, which is one of the main causes of blepharitis.  Hypochlorous acid also helps to soothe inflamed and red eyelids.  

I used this in my clinic for two years and had great results.  This is now second on my list for patients due to the easy availability of Heyedrate Lid & Lash Cleanser.

3 Ingredients for Avenova

  • Neutrox (pure hypochlorous acid, 0.01% as a preservative)
  • Saline 

Safety Profile

  • Safe for contact with skin, eyes, and for ingestion

Shelf Life

  • 30 days after opening

Directions for Avenova are the same as Heyedrate Lid and Lash Cleanser

  • Remove eye makeup with a tea tree oil eye makeup remover.
  • Wash face with a tea tree oil bar soap and dry
  • Close eyes and spray directly onto eyelids
  • Let dry, no rinsing required
  • Alternatively, you can spray on a cotton round and gently rub across eyelid margin
  • Repeat for the other lid
  • Leave on for best results
  • No rinsing necessary

Where can I buy Avenova? What is the price of Avenova?

     

    3. Ocusoft Lid Scrub PLUS Foam

    Ocusoft Lid Scrubs are a detergent based eyelid cleanser that has been used for many years to reduce redness, swelling, burning, itchiness, irritation, and crustiness from the eyelid margins.  

    I used this before Avenova came to the market, from 2010 until 2012.  With the newer products on the market, like Avenova and Heyedrate Lid & Lash Cleanser, I no longer use Ocusoft products regularly.  

    13 Ingredients for Ocusoft Lid Scrub PLUS Foam

    • Cocoamphodiacetate Disodium
    • D-Panthenol
    • Decyl Polygluoside
    • Methyl Gluceth-20
    • Modified Ringer’s Solution (purified water, sodium chloride, potassium chloride, calcium chloride)
    • PEG-120 Methyl Glucose Dioleate
    • POE-80 Sorbitan Monolaurate
    • Polyaminopropyl Biguanide
    • 1,2-Hexanediol
    • 1,2-Octanediol

    Directions Ocusoft Lid Scrub PLUS Foam

    • Rinse face with water
    • Lather Ocusoft Lid Scrub PLUS Foam in hands
    • Rub gently into eyelid margins
    • Rinse with water

    Where can I buy Ocusoft Lid Scrubs?  What is the price of Ocusoft Lid Scrubs?

    • Check the price and purchase on Amazon
    Ocusoft Lid Scrub Plus Foam

    4. Cliradex

    Cliradex is a great preservative-free lid wipe that contains 4-Terpineol (T40), which is an active ingredient used to eliminate demodex mites (YES, mites in your eyelashes).  

    It can also help with redness, swelling, burning, itchiness, and crustiness of the eyelid margin.

    I used this before Avenova came to the market, from 2010 until 2012.  With the newer products on the market, like Avenova and Heyedrate Lid & Lash Cleanser, I no longer use Cliradex products regularly.  

    This was mostly reserved for Demodex, or eyelash mites, but I now use Heyedrate Tea Tree Oil.  

    7 Ingredients for Cliradex

    • Water
    • 4-Terpineol
    • Glycerin
    • Polysorbate 20
    • Polysorbate 80
    • Carbomer
    • Triethannolamine

    Directions for Cliradex Eyelid Wipes

    • Unfold pre-moistened pad and wrap over finger
    • Close eye and gently cleanse lid using side-to-side strokes
    • Do not touch eye directly
    • Repeat for other lid
    • Leave on for best results
    • No rinsing necessary

    Where can I buy Cliradex? What is the price of Cliradex?

    • Check the price and purchase on Amazon.

     

    5. Systane Lid Wipes

    Systane Lid Wipes help reduce redness, swelling, burning, itching, irritation, and crustiness from the eyelid margins.  

    I have never used this in my clinic, as I used Ocusoft from 2010-2012 and Avenova from 2012 through 2015, and finally I continue to use newer hypochlorous acid products, like like Heyedrate Lid & Lash Cleanser.

    7 Ingredients of Systane Lid Wipes

    • Purified Water USP
    • Peg-200 Hydrogenated Glyceryl Palmitate
    • Disodium Laureth Sulfosuccinate
    • Cocoamido Propyl Amine Oxide
    • Peg-80 Glyceryl Cocoate
    • Benzyle Alcohol
    • Edetate Disodium

    Directions for Systane Lid Wipes

    • Unfold pre-moistened pad and wrap over finger
    • Close eye and gently cleanse lid using side-to-side strokes
    • Do not touch eye directly
    • Repeat for other lid
    • Leave on for best results
    • No rinsing necessary

    Where can I buy Systane Lid Wipes? What is the price of Systane Lid Wipes?

    • Check the price and purchase on Amazon
    Systane Lid Wipes
    http://amzn.to/2xpD72u

    6. Ocusoft Lid Scrub PLUS Pre Moistened Pads

    Ocusoft Lid Scrub Pre Moistened Pads are another detergent based eyelid scrub that has been used for many years to reduce redness, swelling, burning, itchiness, irritation, and crustiness from the eyelid margins. These are used for effectively removing oil, debris and desquamated skin from the eyelids.

    I used this before Avenova came to the market, from 2010 until 2012. With the newer products on the market, like Avenova and Heyedrate Lid & Lash Cleanser, I no longer use Ocusoft products regularly.  

    12 Ingredients of Ocusoft Lid Scrub PLUS Pre Moistened Pads

    • Modified Ringer's Solution
    • POE-80 Sorbitan Monolaurate
    • Methyl Gluceth-20
    • PEG-120 Methyl Glucose Dioleate
    • Decyl Polyglucoside
    • 1, 2-Hexanediol
    • 1, 2-Octanediol
    • Cocoamphodiacetate Disodium
    • d-Panthenol
    • Polyaminopropyl Biguanide (PHMB).

    Directions for Ocusoft Lid Scrub PLUS Pre Moistened Pads

    • Unfold pre-moistened pad and wrap over finger
    • Close eye and gently cleanse lid using side-to-side strokes
    • Do not touch eye directly
    • Repeat for other lid
    • Leave on for best results
    • No rinsing necessary

    Where can I buy Ocusoft Lid Scrubs?  What is the price of Ocusoft Lid Scrubs?

    • Check the price and purchase on Amazon


    7. We Love Eyes Eyelid Cleanser

    We Love Eyes eyelid scrub is a tea tree based foaming eyelid cleanser that was recently released. It also helps reduce redness, swelling, burning, itchiness, irritation, and crustiness from the eyelid margins, but has tea tree oil in it, which helps with demodex eyelash mites as well.

    We Love Eyes eyelid scrub is effective at removing oil, debris and desquamated skin from the eyelids.

    I have never used this in our clinic as I use Avenova and Heyedrate Lid & Lash Cleanser, but it is still a great product. 

    24 Ingredients for We Love Eyes Eyelid Scrub

    • Water
    • Glycerin
    • Polyglyceryl-4 Caprate
    • Sodium Methyl Cocoyl Taurate
    • Heptyl Glucoside
    • Cocamidopropyl Hydroxysultaine
    • Sodium Decylglucosides Hydroxypropylsulfonate
    • Sodium Laurylglucosides Hydroxypropylsulfonate
    • Sodium Cocoamphoacetate
    • Sodium Cocoyl Hydrolyzed Amaranth Protein
    • Melaleuca Alternifolia (Tea Tree) Leaf Oil
    • Organic Simmondsia Chinensis (Jojoba) Seed Oil
    • Organic Vitis Vinifera (Grape) Seed Oil
    • Lauryl Glucoside
    • Sodium Cocoyl Glutamate
    • Sodium Lauryl Glucose Carboxylate
    • Leuconostoc / Radish Root Extract Ferment Filtrate
    • Populus Tremuloides Bark Extract
    • Lonicera Caprifolium (Honeysuckle) Flower Extract
    • Lonicera Japonica (Honeysuckle) Flower Extract
    • Gluconolactone
    • Caprylyl Glycol
    • Sodium Chloride
    • Citric Acid

    Directions for We Love Eyes Foaming Eyelid Scrub

    • Shake well before use
    • Wash hands
    • Dispense 2 pumps onto clean fingertips
    • With eyes closed, gently rub onto eyelids & eyelashes
    • Because this is a soap, do not get it in your eye and make sure to rinse thoroughly with water
    • Towel dry
    • Use nightly

    Where can I buy We Love Eyes Foaming Eyelid Scrub? What is the price of We Love Eyes Foaming Eyelid Scrub?

    • Check the price and purchase on Amazon


    Other Blepharitis Treatment Tips

    1. As discussed above, clean eyelids is our number one tip, and we use Heyedrate Lid and Lash Cleanser as our preferred eyelid scrub.
    2. Hygiene in general is an important factor when it comes to keeping the overall bacteria load down (mainly Staph bacteria, which is the most common cause of blepharitis). We use a tea tree soap for our body and face in the shower and by the sink.
    3. Using a warm compress can help not only unclog the meibomian glands in cases of Meibomian Gland Dysfunction (MGD), but also help break up the gunk from blepharitis. Click here to see directions on warm compresses.
    4. Make sure to limit eye makeup use when you have an active blepharitis infection. Also be sure to remove all your eye makeup before going to bed every night.  This will help prevent and keep eyelid inflammation and eyelid bumps away. Here is a tea tree oil eye makeup remover that we recommend.
    5. Do NOT use baby shampoo for blepharitis.
    6. Limit the use of contact lenses when you have gunky eyelids and a very "active" blepharitis. This will increase bacteria in and around the eyelids, therefore worsening your bacteria.  
    What do you think of this list?  What have you tried?  Let us know in the comments below!

     

    One Love,

    Dr. Travis Zigler

    Dr. Travis Zigler
    SeeEO of Eye Love
    Director of the Dry Eye Syndrome Support Community 

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