Blepharitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Physical examination of patients with blepharitis is usually remarkable for irritated eyelid edges, hard crusting of the lashes or greasy appearing flake, entropion, ectropion, poliosis, and diffuse conjunctival injection.

Physical Examination

Facial and Scalp Skin Examination

Itching and flaking scalp or facial skin (seborrheic dermatitis) Facial flushing (acne rosacea) Broken or swollen blood vessels on cheeks and nose, and red or swollen nose (acne rosacea)

External Examination of the eye

• Pink or irritated eyelid edges
• Hard crusting of the lashes (staphylococcal blepharitis)
• Greasy appearing flake (seborrheic blepharitis)
• Cylindrical dandruff covers base of lash (Demodex)
• Telangiectasia on the anterior eyelid
• Entropion
• Ectropion
• Trichiasis
• Madarosis(loss of lashes)
• Poliosis (loss of pigmentation of lashes)
• Distichiasis (abnormal growth of eyelashes)
• Diffuse conjunctival injection