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 | Physical examination of patients with blepharitis is usually remarkable for irritated eyelid edges, hard crusting of the lashes, [[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><ref name="pmid13274422">{{cite journal| author=THYGESON P, VAUGHAN DG| title=Seborrheic blepharitis. | journal=Trans Am Ophthalmol Soc | year= 1954 | volume= 52 | issue= | pages= 173-88 | pmid=13274422 | doi= | pmc=1312591 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13274422 }} </ref> | ||
==Physical Examination== | ==Physical Examination== | ||
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*Pink or irritated eyelid edges | *Pink or irritated eyelid edges | ||
*Hard crusting of the lashes (staphylococcal blepharitis) | *Hard crusting of the lashes (staphylococcal blepharitis) | ||
*Greasy appearing | *Greasy appearing flakes (seborrheic blepharitis) | ||
*Cylindrical dandruff on the base of lashes (''Demodex folliculorum'') | *Cylindrical dandruff on the base of lashes (''Demodex folliculorum'') | ||
*[[Telangiectasia]] on the anterior eyelid | *[[Telangiectasia]] on the anterior eyelid | ||
Revision as of 19:44, 26 July 2016
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Blepharitis Microchapters | |
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Diagnosis | |
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Treatment | |
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Blepharitis physical examination On the Web | |
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American Roentgen Ray Society Images of Blepharitis physical examination | |
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Risk calculators and risk factors for Blepharitis physical examination | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [4]
Overview
Physical examination of patients with blepharitis is usually remarkable for irritated eyelid edges, hard crusting of the lashes, entropion, ectropion, poliosis, and diffuse conjunctival injection.[1][2]
Physical Examination
Skin Examination
Common skin examination findings of blepharitis include:[1][2][3]
- Scalp or facial skin itching and flaking (seborrheic dermatitis)
- Facial flushing (acne rosacea)
- Broken or swollen blood vessels on cheeks and nose (acne rosacea)
Eye Examination
Common eye examination findings of blepharitis include:[4]
- Pink or irritated eyelid edges
- Hard crusting of the lashes (staphylococcal blepharitis)
- Greasy appearing flakes (seborrheic blepharitis)
- Cylindrical dandruff on the base of lashes (Demodex folliculorum)
- 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
Image
The following are images associated with blepharitis.
![Entropion and trichiasis[6]](/index.php/File:Entropion.jpeg)
![Ectropion[5]](/index.php?title=Special:Upload&wpDestFile=Ectropion.jpeg){kind=link}
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.
- ↑ 2.0 2.1 THYGESON P, VAUGHAN DG (1954). "Seborrheic blepharitis". Trans Am Ophthalmol Soc. 52: 173–88. PMC 1312591. PMID 13274422.
- ↑ Lemp MA, Nichols KK (2009). "Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment". Ocul Surf. 7 (2 Suppl): S1–S14. PMID 19383269.
- ↑ American Academy of Ophthalmology/eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016
- ↑ Wikipedia (2016). [1] Accessed on July 14, 2016
- ↑ Wikipedia (2016). [2] Accessed on July 15, 2016
![[1]](https://en.wikipedia.org/wiki/Ectropion#/media/File:Cycatricial_ectropion_-_eyes_open.jpeg){kind=link}
![[2]](https://en.wikipedia.org/wiki/Entropion#/media/File:Entropion_and_trichiasis_secondary_to_trachoma_A44-652-11.jpg){kind=link}