Psoriasis can affect the eyelids and surrounding skin, causing redness, scaling, and discomfort. Eye surface irritation may develop if flakes enter the tear film.
Features and challenges
The delicate eyelid skin makes treatment more complex than on other body areas.
- Red, scaly plaques along the lash line and periocular region
- Possible associated blepharitis, dry eye, or conjunctivitis
- Risk of eyelid margin thickening and lash misdirection in chronic cases
- Often occurs with psoriasis elsewhere on the body
Treatment
Management balances efficacy with safety near the eye.
- Mild topical steroids or calcineurin inhibitors under dermatology guidance
- Lid hygiene and lubricating drops to relieve surface symptoms
- Monitoring for steroid side effects such as glaucoma or cataract
- Systemic or biologic therapies in severe generalised psoriasis
