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Sores on Eyelids or Inside: Causes, Symptoms, Treatments and More

Sores are physically painful, sensitive or diseased parts of the skin. They can occur anywhere on the skin surface including both lower and upper eyelids as well as the inner side of the eyelids. If you are reading this article, you’ll learn more about the causes, symptoms, treatments and more.

Eyelid sores often appear in form of painful open blisters which occur after an inflammation, a bump or swellings. A couple of cases have been associated with this problem ranging from trauma to infections among others. Let us examine the common causes in details.


Eyelid sores caused by eyelid cysts

Sores on eyelids can be classified into two categories: those that appear on the outside part (upper and below) and those that appear on the inside part. Here, we get the insightful information about the conventional causes of sores on eyelids.

1. Allergic Reactions

Eyelid allergic reactions can lead to sores
Allergic reactions can lead to sores

Allergic reactions occur when the body’s immune system responds to substances within the environment that are harmless for most individuals. Such substances are called allergens and they include certain foods and medications, insect bites, cosmetics, regimens among others. When these substances are ingested, inhaled, injected or get into contact with your skin, your body will react by producing small bumps filled with fluids. After a while, you’ll begin experiencing itchy eyelids or a burning swelling that later flare up leaving painful sores on this area.

2. Stye

An infected stye on the upper eyelid is another common cause of sores on eyelids
An infected stye  is another common cause

A stye is a tiny painful lesion on the inside or the outside of the eyelid filled with pus. It occurs along the margin of the eyelid that has been infected by some bacteria named staphylococcus.

This infection clogs the oil glands of the eye. This will result to pus-filled bumps on the eyelid. The pus will then come out leaving behind an open wound or sore.

3. Ocular Herpes

Ocular herpes sores around eye and eyelids
Ocular herpes sores

“Herpes is a skin infection caused by virus herpes varicella zoster,” says tandurust.com. This is the first type of herpes called simplex herpes virus that is also associated with chicken pox.

An inflammation accompanied by an irritation is said to be observed first on the inside of the eyelids following this eyelid infection. They then spread out to the other parts of the eye especially the cornea which is quite dangerous since it can result in blindness. When these eruptions burst, they cause soreness which is very severe and should be controlled before it worsens to this extremity.

4. Sunburns

Exposure to the sun rays also comes with dreadful demerits. This will lead to dry skin eyelids that is prone to itching or inflammation. Itching will trigger scratching that may damage this skin resulting in sores. This can happen on any part of the skin including the outer surface. The best treatment is to avoid too much exposure to the sun but if you have to, then you should use sunscreens or other protective measures against sun rays.

5. Trauma

Sores due to eyelid trauma

Another blame is trauma. Eyelid trauma is caused by eye injuries that occur due to accidents, surgery involving cosmetics, contusion as well as intensive scratching of the eyes to ease irritation discomfort.

In the process, an inflammation or a swelling tends to emerge and thereafter bursts leaving behind a sore. This trauma is really sensitive and needs quick response to secure the eyeball from any injury before considering the eyelid.

6. Acne Vulgaris

Acne vulgaris sores on lower eyelids
Acne vulgaris sores on lower eyelids

This is a common skin condition linked to the blockage of the hair follicles and the overactive sebaceous glands. Sebaceous glands are oil-producing glands that are located underneath the skin. In the case of eyelids, sebaceous glands produce oil that accumulates beneath the skin. When the oil pathways and hair pores are clogged, a blister in form of an inflammation will

When the oil pathways and hair pores are clogged, a blister in form of an inflammation will erupt forming little lesions that are very painful and may affect your vision

7. Chalazion

A chalazion is a painless bump that occurs around an oil gland or tears gland on either the upper or the lower eyelid in form of a red swollen tumor. It is caused by an impeded sebaceous glands. When these tumors (small painless lesions) burst, they may result in a sore especially when irritated. Mostly, these chalazion are left to fade away by themselves without being distracted. It may occur inside or outside part.

Chalazion sore on inner eyelids
Chalazion sore on inner side

8. Contact Dermatitis

If you realize that your eyelids have turned red and inflamed after coming into contact with an allergen or some irritants, then that must be due to contact dermatitis. Just as the name suggests, it is due to contact with strange substances. Contact dermatitis tempers with the protective layer of the skin (in our case the skin of the eyelids) probably through allergic reactions, this will eventually result to open wounds, the sores.

Eczema on eyelids - contact dermatitis
Eczema on eyelids – contact dermatitis

9. Eyelash Extension

“Eyelash extensions are synthetic fibers that are applied on the natural lashes for cosmetic purposes using glue”, explains eyewiki.aao.org. Most of the people rush to add beauty to their eyes without knowing the repercussions that can cost their bodies health thereafter.

The glue applied to stick them together on a firm foundation may not have been administered using the right procedure hence, irritations may crop up after a while. As you scratch yourself to get a relief, these artificial eyelashes may end up causing ruptures on the eyelids that result in sores.

A number of causes have been discovered to cause sores. Above all, caution should also be administered on what gets into your eyes. If the sore eyelid can’t be managed at, home please see your doctor immediately.


There are a variety of symptoms occurring alongside eyelid sores. Many sores are external hence their symptoms can be noticed visually. For the sores occurring inside, the symptoms may not be noticeable but can be felt. The resulting symptoms may be mild or severe and this will be determined by the causes. Here are some common symptoms that indicate the presence of sores on eyelids:

  • Bruising or discoloration of the skin around your eye
  • Redness
  • Red lumps that are painful
  • Dry eyelids
  • Inflammation called blepharitis
  • Corneal Flash Burns
  • Peeling skin
  • Itchy, irritating and watery eyes
  • Blurred vision
  • Unusual sensitivity

Other symptoms include pain tenderness, puffy eyelids, discharge and difficulties in blinking which may mainly depend on the conditions causing this problem. If these symptoms grow acute, medical attention should be sought with immediate effect to ensure the entire eye does not get affected. Remember this may be fatal if blindness crops in.

On inner eyelid

Though many sores usually occur outside the eyelid, there are those that occur inside part and these can be a bit more scaring especially when it comes to their treatment. They can reach an extent of interfering with the vision.

Examples of conditions that can cause this issue include stye, chalazion, acne vulgaris and even the foreign objects that may find their ways inside part. The may be small pieces of broken bottles, sands or other minor particles. This is a common condition among young children.

Treatment and cures

Treatment depends on the primary causes. If you experience sore eyelids then your optometrist or ophthalmologist may provide prescriptions or recommend some of the over the counter treatments. Some of the factors to be considered in this case are your age, medical history, the location of the sores and the severity of the condition. Commonly applied treatment include:

1. Antihistamines and Steroids

Generally, if you sore eyelid is due to allergic reaction then there are antihistamine eye drops or oral medications for allergy that will help relieve the situation. There are also “artificial tears” lubrication procedures that can also be applied. For serious cases of allergies, steroid treatment may be applied.

2.Anti-bacterial, antifungals and anti-viral Treatments

Causes of such as bacterial, fungal and viral infections can be managed using the anti-bacterial, anti-fungal, and anti-viral eyelid infection treatments. These can be applied orally, topically or through injections. Many of them are available with a prescription.


In severe cases of chalazion and xanthelasma, surgical procedures may be applied. Antibiotic eye drops can then be applied after surgery to treat or prevent any potential infections.


Minor cases can be easily relived using some of the home remedies. A warm compress on the affected eyelid may enhance the blood circulation in the area and hence a good itchy eyelids treatment.

Other home products such as aloe vera, apple cider vinegar, avocado, tea bags and more can also hasten the relief of sore eyelids. These products are very effective for dry skin on eyelids or swelling. Apart from the mentioned home products, some of the habitual ways of avoiding the problem include:

  • Drinking plenty amount of water
  • Keep good hygiene to reduce the risk of contracting stye
  • Rinse your them once per day
  • Consult your nutritionist for proper diet, this will help you to reduce the cholesterol levels that may lead to development of eyelid sore
  • Avoiding poorly formulated eyelash extension
  • Being very keen on what comes into contact with them to avoid allergic reactions
  • Keep your general skin moisturized or hydrated

Remember some causes of sores on eyelids may be beyond home remedies, so see your doctor if you suspect you can’t handle your situation at home.

When to See a Doctor

If the symptom persists or aggravates, for instance, you develop a painful eye, extremely itchy eyelids, see your doctor on emergency setting to diagnose the underlying causes and thus define proper treatment. Also, see your doctor if the OTC products and home remedies don’t provide any relief.

  1. http://www.healthline.com/health/eyelid-bump#overview1
  2. http://www.allaboutvision.com/conditions/swollen-eyelids.htm
  3. http://www.tandurust.com/skincare/blister-on-eyelid-causes-remedies.html
  4. http://www.medicinenet.com/eye_allergy/page4.htm
  5. http://www.rightdiagnosis.com/sym/eyelid_blister.htm
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2097894/
  7. http://www.emedicinehealth.com/eyelid_inflammation_blepharitis/article_em.htm

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