From the FDA Drug Label
Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily The treatment for irritant dermatitis of the eyelid is to apply hydrocortisone to the affected area not more than 3 to 4 times daily for adults and children 2 years of age and older 1.
- For children under 2 years of age, a doctor should be consulted.
- For children under 12 years of age, a doctor should be consulted before applying hydrocortisone to the eyelid.
From the Research
The treatment for irritant dermatitis of the eyelid involves first identifying and removing the irritating substance, then managing symptoms with gentle care and medications, as supported by the most recent study 2 which highlights the importance of understanding the unique characteristics of eyelid skin and common allergens. The approach to managing irritant dermatitis of the eyelid should prioritize gentle care to avoid further irritation, given the thin and sensitive nature of the skin around the eyes. Key steps include:
- Immediately discontinuing use of all cosmetics, facial products, and eye medications that may be causing irritation.
- Washing the eyelids with warm water or a mild, fragrance-free cleanser like Cetaphil.
- Applying cool compresses for 10-15 minutes several times daily to reduce inflammation.
- For medication, considering a low-potency topical corticosteroid such as hydrocortisone 1% cream applied sparingly to the affected eyelids twice daily for 5-7 days, while avoiding getting it in the eyes.
- For severe cases, prescription medications like tacrolimus 0.03% ointment or pimecrolimus 1% cream may be used as steroid-sparing alternatives, as noted in studies like 3.
- Oral antihistamines like cetirizine 10mg daily can help reduce itching.
- Moisturizing the eyelids with fragrance-free, hypoallergenic moisturizers after washing is also crucial. It's essential to note that the skin around the eyes is particularly prone to irritation due to its thinness and sensitivity, making gentle treatment and avoidance of further irritation critical for healing, as emphasized by the need to understand the pathophysiology of eyelid allergic contact dermatitis 2.