For years, Bradley Walsh has held a special place in the hearts of television audiences. Yet, some fans have noticed abrupt changes in his appearance. Addressing the curiosity head-on, Walsh has revealed that a health condition is the culprit behind these alterations, a condition he admits he “really struggles” with.

In a candid 2021 interview on This Morning, Walsh opened up about his battle with “seriously bad blepharitis.” He stated, “I have to take one pill a day for it, or I really struggle. At some point, I’m going to need surgery on my eyes to sort it out.”

Blepharitis is an inflammation of the eyelids that leads to swelling and discomfort. Although not typically severe, managing it requires diligent eye hygiene and, occasionally, medication.

Fortunately, blepharitis isn’t contagious and usually stems from one of three underlying causes. However, if left untreated, the condition can lead to persistent dry eyes, blocked oil glands, eyelash loss, conjunctivitis, and even corneal damage, which could significantly affect vision. In extreme cases, individuals might find their eyelids ‘sealed shut’ by debris upon waking.

• A type of bacteria that lives on the skin
• Skin conditions like seborrhoeic dermatitis
• Glands in the eyelids not producing enough oil

The symptoms of blepharitis can come and go. The NHS highlights common indicators such as sore eyelids, irritated eyes, a gritty feeling in the eyes, and flakes or crusts forming at the base of the eyelashes.

What are the symptoms of blepharitis?

Blepharitis symptoms can be intermittent. The NHS lists typical signs including tender eyelids, irritated eyes, a gritty sensation in the eyes, and flakes or crusts forming around eyelash roots.

Another frequent problem sufferers experience is waking to find their eyelids ‘sealed shut’. This occurs when oil, debris or bacteria accumulate along the eyelid margins overnight, forming a crust or causing the eyelids to stick together.

Those diagnosed with blepharitis are recommended to cleanse their eyelids twice daily to avoid buildup. This cleaning routine should continue even after symptoms have cleared.

How is blepharitis treated?

The cleaning process typically involves soaking a flannel in warm water and placing it on the closed eyelid for several minutes before gently massaging the area, then using cotton wool or a cotton bud to wipe the eyelid edges and clear away any debris.

Pharmacists can suggest eye pads, wipes or eyedrops to maintain eye hygiene. Should symptoms persist, a GP visit may be necessary, where antibiotic creams or ointments can be prescribed.

The GP may also address the underlying cause of the blepharitis, such as a cyst beneath the skin.

The NHS advises anyone experiencing eye pain, sudden changes in vision or red eyes to contact their GP urgently or seek assistance from 111. These symptoms could indicate a more serious eye condition.