Figuring out why your eyes are red and irritated can feel like a puzzle. Ocular rosacea and blepharitis are 2 of the most common issues, and they share very similar symptoms. Our team at West Valley Dry Eye in Surprise, Arizona, knows it’s easy to mix them up when your eyes just feel uncomfortable.
Finding relief begins by untangling the signs and sources of each condition, as they are treated differently.
What Is Blepharitis and What Does It Feel Like?
Blepharitis is an irritation that centers right on your eyelids, exactly where your eyelashes grow. This common condition involves inflammation of the eyelids, which can make them look puffy and feel sore to the touch. Simple home care, like a gentle warm compress, can sometimes offer temporary comfort.
Common Signs of Blepharitis
If you have blepharitis, you might notice some of these signs:
- Red and swollen eyelids
- A gritty or burning sensation in your eyes
- Crusty debris at the base of your eyelashes, especially in the morning
- Scratchy eyelids
- Watery eyes
What Is Ocular Rosacea and How Does It Affect Your Eyes?
Ocular rosacea is another inflammatory condition that affects your eyes, often associated with skin rosacea (though not always). Some modern approaches, like intense pulsed light therapy, can help manage symptoms on both the skin and eyes.
Common Signs of Ocular Rosacea
The feelings associated with ocular rosacea often include:
- Watery or bloodshot eyes
- A feeling like you have sand in your eye
- Burning or stinging
- Dryness and itching
- Blurred vision that comes and goes
Spot the Difference Between Ocular Rosacea and Blepharitis
With so many symptoms in common, telling them apart can be difficult. In some cases, ocular rosacea can even lead to blepharitis. That being said, there are a few key, specific details that can help you notice the differences.
Where the Irritation Starts
One of the biggest clues is where you feel the discomfort most. With blepharitis, irritation is usually focused on your eyelid margins. Ocular rosacea often feels more widespread across the whole surface of your eye.
Other Possible Clues
People with ocular rosacea may also have skin symptoms, such as redness or small bumps on their face. Blepharitis, on the other hand, typically sticks to just your eye and eyelid area.
Their Connection to Dry Eye Disease
Both conditions can interfere with the tiny glands lining your eyelids, which are responsible for tear quality. When those oils are missing, your tears evaporate too quickly, leading to the scratchy, dry feeling known as dry eye disease.
How These Can Look Like Other Eye Issues
The symptoms of both blepharitis and ocular rosacea can also look a lot like other common eye problems. Because symptoms overlap so much, an eye exam is often the most reliable way to distinguish them.
Allergies or Inflammation
You might think your itchy, watery eyes are from seasonal allergies. But if you also notice crusty flakes, swollen eyelids, or a persistent gritty feeling, it could point toward an inflammatory issue like blepharitis or ocular rosacea.

Simple Dry Eye Disease
Many things can contribute to dry eye disease. The important thing to know is that blepharitis and ocular rosacea are specific inflammatory conditions that can cause those dry eye symptoms. Managing them requires a plan that targets the inflammation.
Find a Path to Relief for Your Eye Irritation
You don’t have to put up with constant eye discomfort. The most important step you can take is to get a clear diagnosis. A dry eye doctor in Surprise can help pinpoint the causes of your symptoms and guide you toward relief.
What to Expect During an Exam
During a visit, an eye care professional will take a close look at your eyes, eyelids, and eyelashes. Our team can also check the quality of your tears to get a complete picture of your eye health.
Options for Eye Relief
Once the causes of your symptoms are clear, we can create a personalized plan for you. This often includes simple steps for eyelid hygiene and methods to relieve dry eye disease symptoms.
Let’s Find You Relief Together
Sorting out eye irritation on your own can be frustrating. Our team at West Valley Dry Eye is dedicated to helping people find answers and relief. Schedule a consultation to finally understand what’s behind your discomfort and start a journey toward clearer, more comfortable vision.
