Safe Ways to Clean Your Eyelids and Eyelid Area for Eye Health

Q: Safe Ways to Clean Your Eyelids and Eyelid Area for Eye Health

Hello： 1. Use a gentle cleanser： To clean the eye area, choose a mild cleanser. These products are typically non-irritating to the eyes and help remove debris while ensuring cleanliness. Baby shampoo can be a good option. 2. Wash your face with lukewarm water：

How to clean the upper eyelid and eyelid area?

Hello, Doctor Gao.
I have high myopia (both eyes >1000, both eyes with astigmatism >350) and a history of retinal tears that have been repaired, so I am always afraid of any actions that might put pressure on my eyeballs.
Currently, I am facing some minor issues related to my eyes in daily life.
I previously asked about how to protect my eyes, and after your response, I have been trying to avoid touching my eyes.
However, I am having difficulty cleaning the upper eyelid and the area around the upper eyelid (the hollow part).
Recently, due to seasonal changes, my facial skin has been peeling, and I have been developing skin debris (the kind that feels slimy and unpleasant after a shower).
The upper eyelid and the area around it keep shedding skin flakes, which irritates my eyes and is very uncomfortable.
In the past, I would vigorously wipe with a towel, so I never had major issues, but now that I have had a retinal tear, I am afraid that if I accidentally wipe too hard, my eye might get damaged.
Without using my nails to scrape off the skin debris, what would be the best way to handle this situation? Currently, I am considering using my fingers to gently pull the upper eyelid forward at the outer corner and slowly rub the skin debris (at least this way, it feels like I won’t be putting pressure on the eyeball), but I am unsure if this could cause other problems.
Could I ask for your professional advice as an ophthalmologist? I apologize for not knowing which department to consult for this issue, and I couldn’t find any information online.
Thank you for your response, Doctor Gao!

Gao Du Jin Shi Gong Cheng Shi, 30~39 year old female. Ask Date: 2023/10/13

Dr. Gao Pilin reply Ophthalmology

Hello: 1.
Use a gentle cleanser: To clean the eye area, choose a mild cleanser.
These products are typically non-irritating to the eyes and help remove debris while ensuring cleanliness.
Baby shampoo can be a good option.
2.
Wash your face with lukewarm water: When cleansing your face, use lukewarm water instead of hot water to avoid excessive skin dryness and peeling.
Lukewarm water helps maintain the skin's natural moisture.
3.
Gently wipe: When wiping the skin or eyelids, be very gentle and avoid using force to prevent excessive pulling or rubbing.
The method you mentioned, gently lifting the upper eyelid with your fingers at the outer corner of the eye to remove debris, is a relatively safe approach as long as it is done softly and does not exert pressure on the eyeball.
4.
Keep the skin moisturized: Use some mild moisturizers, especially during seasonal changes, to help keep the skin hydrated and reduce peeling.
5.
Pay attention to diet and hydration: Good dietary habits and adequate fluid intake are essential for maintaining healthy skin.

Reply Date: 2023/10/13

More Info

When it comes to safely cleaning your eyelids and the area around your eyes, especially for someone with a history of high myopia and retinal issues, it’s crucial to approach the task with care. Here are some safe methods and considerations to keep in mind:
1. Gentle Cleansing Products: Use a mild cleanser specifically designed for sensitive skin. Baby shampoo is often recommended because it is gentle and can effectively remove oils and debris without causing irritation. Avoid using harsh soaps or scrubs that can exacerbate dryness or irritation.

2. Warm Compress: Before cleaning, consider applying a warm compress to the eyelid area. This can help loosen any crusted debris or skin flakes, making it easier to clean without excessive rubbing. Simply soak a clean cloth in warm water, wring it out, and gently place it over your closed eyes for a few minutes.

3. Use of Cotton Swabs: For cleaning the eyelid margins, you can use a cotton swab dipped in a diluted solution of baby shampoo or saline solution. Make sure to keep your eyes closed tightly while doing this to avoid any contact with the eyeball. Gently swipe along the lash line to remove any buildup.

4. Avoiding Direct Pressure: Given your concerns about pressure on the eyeball, it’s essential to avoid any actions that could apply force to the eye. Your method of gently pulling the upper eyelid away from the eye while cleaning is a safer approach, as long as you do it very gently and without any force.

5. Moisturizing: If you are experiencing dryness and flaking, consider using a gentle moisturizer around the eyelid area, but be cautious not to apply it too close to the eye itself. Products specifically formulated for the eye area are best.

6. Hydration and Diet: Maintaining proper hydration and a balanced diet can significantly affect skin health, including the skin around your eyes. Ensure you are drinking enough water and consuming foods rich in omega-3 fatty acids, vitamins A, C, and E, which can help maintain skin integrity.

7. Avoid Rubbing: It’s important to avoid rubbing your eyes or the surrounding area, as this can lead to irritation or even injury, especially with your medical history. If you feel the need to rub, try to resist and instead use the gentle methods mentioned above.

8. Consultation with an Eye Specialist: Given your specific concerns and medical history, it’s always a good idea to consult with an ophthalmologist or an eye care professional. They can provide personalized advice and may suggest specific treatments or products that are safe for your condition.

9. Regular Eye Check-ups: Regular visits to your eye doctor are essential, especially with your history of retinal issues. They can monitor your eye health and provide guidance on how to manage any symptoms you may be experiencing.

10. Recognizing Symptoms: If you notice any signs of infection, such as increased redness, swelling, discharge, or persistent discomfort, seek medical attention promptly. These could be signs of a more serious condition that requires professional treatment.

In summary, cleaning the eyelid area requires a gentle approach, especially for individuals with specific eye health concerns. By using mild cleansers, warm compresses, and avoiding direct pressure on the eyeball, you can maintain eye hygiene while minimizing the risk of injury or irritation. Always prioritize consulting with a healthcare professional for tailored advice and treatment options.

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