Periocular dermatitis is an inflammatory skin condition affecting the skin around the eyes, causing redness, small bumps, and irritation of the eyelids and surrounding area. It can resemble eczema or acne and may be aggravated by topical products.
Features and Triggers
Periocular dermatitis often presents with clusters of tiny papules or pustules on a background of dry, flaky, or scaly skin. It may be itchy, burning, or sore, and can be triggered by steroid creams, cosmetics, or certain skincare products used near the eyes.
- Common in adults but can also affect children
- May be linked to a history of sensitive skin or dermatitis
- Topical corticosteroid use can worsen or mask the condition
- Sunlight, irritants, and heavy creams may contribute to flares
Management
Treatment focuses on identifying and stopping potential triggers, including gradual withdrawal of topical steroids if they have been used. Non-steroidal topical treatments and gentle skincare routines are often recommended, sometimes alongside systemic medication in more severe cases.
- Avoiding fragranced or heavy products around the eyes is often advised
- Dermatology input can be helpful when diagnosis is uncertain
- Improvement may take several weeks after changing treatments
- Long-term control usually involves trigger avoidance and mild maintenance therapy
