I have been suffering for years with severe eye irritation and swollen, red eyelids. I have been dealing with this for over 10 years. For the last couple of years, every few weeks or so, it would feel like there was an eyelash underneath my upper eyelid. I finally reverse flipped the eyelid open and saw there was 5 or 6 small pustules on the underside of the lid. The lid is red and swollen and it hurts. I have been diagnosed with ocular rosacea and blepharitis in the past. The only thing that has worked is doxycycline 50mg 1x/day. My Ophthalmologist and Dermatologist don’t want me taking doxy long term (why I don’t know since it works) and put me on Oracea, which doesn’t do the trick. Does anyone know what these pustules are? How should they be treated? They seem to affect tear production since I need to use a lot of artificial tears during these flare ups. The eyelids, both top and bottom, are red rimmed and the uppers have a band of red from the lashes to about ½ way up. I can’t find anything similar online. This is destroying my self-confidence, social life and career. I'm 50 and these problems started about 10 years ago. Help please