Blepharitis physical examination: Difference between revisions
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==Overview== | ==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 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]].<ref name="pmid3957566">{{cite journal| author=Dougherty JM, McCulley JP| title=Bacterial lipases and chronic blepharitis. | journal=Invest Ophthalmol Vis Sci | year= 1986 | volume= 27 | issue= 4 | pages= 486-91 | pmid=3957566 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3957566 }} </ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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*Broken or swollen blood vessels on cheeks and nose, and red or swollen nose ([[acne rosacea]]) | *Broken or swollen blood vessels on cheeks and nose, and red or swollen nose ([[acne rosacea]]) | ||
===Eye Examination=== | ===Eye Examination=== | ||
Eye examination of patients with blepharitis is usually remarkable for: | Eye examination of patients with blepharitis is usually remarkable for:<ref name="pmid3957566">{{cite journal| author=Dougherty JM, McCulley JP| title=Bacterial lipases and chronic blepharitis. | journal=Invest Ophthalmol Vis Sci | year= 1986 | volume= 27 | issue= 4 | pages= 486-91 | pmid=3957566 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3957566 }} </ref> | ||
*Pink or irritated eyelid edges | *Pink or irritated eyelid edges | ||
*Hard crusting of the lashes (staphylococcal blepharitis) | *Hard crusting of the lashes (staphylococcal blepharitis) | ||
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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.[1]
Physical Examination
Facial and Scalp Examination
Facial and scalp examination of patients with blepharitis is usually remarkable for:
- 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)
Eye Examination
Eye examination of patients with blepharitis is usually remarkable for:[1]
- 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
References
- ↑ 1.0 1.1 Dougherty JM, McCulley JP (1986). "Bacterial lipases and chronic blepharitis". Invest Ophthalmol Vis Sci. 27 (4): 486–91. PMID 3957566.