Blepharitis physical examination: Difference between revisions
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Revision as of 19:45, 13 September 2017
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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. [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, 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 (suggestive of seborrheic dermatitis)
- Facial flushing and Telangiectasia on cheeks and nose (suggestive of 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 (suggestive of Demodex folliculorum infestation)
- 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 images associated with blepharitis:[6]
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Entropion and trichiasis - By Otis Historical Archives Nat'l Museum of Health & Medicine - originally posted to Flickr as A44-652-11, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=6215100
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
- ↑ Tomlinson A, Bron AJ, Korb DR, Amano S, Paugh JR, Pearce EI; et al. (2011). "The international workshop on meibomian gland dysfunction: report of the diagnosis subcommittee". Invest Ophthalmol Vis Sci. 52 (4): 2006–49. doi:10.1167/iovs.10-6997f. PMC 3072162. PMID 21450918.