Blepharitis physical examination: Difference between revisions
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*Scalp or facial skin itching and flaking ([[seborrheic dermatitis]]) | *Scalp or facial skin itching and flaking ([[seborrheic dermatitis]]) | ||
*Facial flushing and [[Telangiectasia]] on cheeks and nose ([[acne rosacea]]) | *Facial flushing and [[Telangiectasia]] on cheeks and nose ([[acne rosacea]]) | ||
===Eye=== | ===Eye=== | ||
====Gross Eye Examination==== | |||
Common eye examination findings of blepharitis include:<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><ref name=Blepharitis-1> Blepharitis. American Academy of Ophthalmology/eyewiki (2014). http://eyewiki.org/Blepharitis Accessed on July 14, 2016 </ref><ref name=Blepharitis-3> Blepharitis. National Eye Institute. (2009). https://nei.nih.gov/health/blepharitis/blepharitis Accessed on July, 14, 2016 </ref> | Common eye examination findings of blepharitis include:<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><ref name=Blepharitis-1> Blepharitis. American Academy of Ophthalmology/eyewiki (2014). http://eyewiki.org/Blepharitis Accessed on July 14, 2016 </ref><ref name=Blepharitis-3> Blepharitis. National Eye Institute. (2009). https://nei.nih.gov/health/blepharitis/blepharitis Accessed on July, 14, 2016 </ref> | ||
*Pink or irritated eyelid edges | *Pink or irritated eyelid edges | ||
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*Distichiasis | *Distichiasis | ||
*Diffuse [[conjunctival injection]] | *Diffuse [[conjunctival injection]] | ||
====Slit Lamp Examination==== | |||
On [[slit lamp|slit lamp examination]], blepharitis is characterized by: | |||
*[[Meibomian gland|Meibomian gland enlargement]] | |||
*Waxy secretions at the gland openings | |||
*Lid margin [[neovascularization]] and dilation of existing blood vessels | |||
*[[Ulcerations]] along the eyelid margin | |||
*Corneal nodules | |||
*Corneal margin ulcer | |||
*Superficial corneal pannus | |||
==Images== | ==Images== | ||
Revision as of 15:19, 12 September 2016
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Blepharitis Microchapters | |
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Diagnosis | |
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Treatment | |
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Case Studies | |
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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. [2]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [3]
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
Common skin examination findings of blepharitis include:[1][2][3]
- Scalp or facial skin itching and flaking (seborrheic dermatitis)
- Facial flushing and Telangiectasia on cheeks and nose (acne rosacea)
Eye
Gross Eye Examination
Common eye examination findings of blepharitis include:[2][4][5]
- 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
- Poliosis
- Distichiasis
- Diffuse conjunctival injection
Slit Lamp Examination
On slit lamp examination, blepharitis is characterized by:
- Meibomian gland enlargement
- Waxy secretions at the gland openings
- Lid margin neovascularization and dilation of existing blood vessels
- Ulcerations along the eyelid margin
- Corneal nodules
- Corneal margin ulcer
- Superficial corneal pannus
Images
The following are gross images associated with blepharitis:
-
![Entropion and trichiasis[6]](/images/3/3e/Entropion.jpeg)
Entropion and trichiasis[6]
![Entropion and trichiasis[6]](/index.php/File:Entropion.jpeg)
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 2.2 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.
- ↑ Blepharitis. American Academy of Ophthalmology/eyewiki (2014). http://eyewiki.org/Blepharitis Accessed on July 14, 2016
- ↑ Blepharitis. National Eye Institute. (2009). https://nei.nih.gov/health/blepharitis/blepharitis Accessed on July, 14, 2016
- ↑ Blepharitis. Wikipedia (2016). [1] Accessed on July 15, 2016
![[1]](https://en.wikipedia.org/wiki/Entropion#/media/File:Entropion_and_trichiasis_secondary_to_trachoma_A44-652-11.jpg){kind=link}