Blepharitis physical examination: Difference between revisions
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{{Blepharitis}} | {{Blepharitis}} | ||
{{CMG}} {{AE}} {{SaraM}} | |||
==Overview== | |||
Physical examination of patients with blepharitis is usually remarkable for irritated eyelid edges, hard crusting of the lashes or greasy appearing flake, | |||
==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]] | |||
*[[Entropion]] | |||
*[[Ectropion]] | |||
*[[Trichiasis]] | |||
*[[Madarosis]] (loss of lashes) | |||
*[[Poliosis]] (loss of pigmentation of lashes) | |||
*[[Distichiasis]] (abnormal growth of eyelashes) | |||
*Diffuse conjunctival injection | |||
===Slit lamp Examination=== | |||
The slit lamp examination can help distinguish anterior and posterior blepharitis. | |||
*[[Meibomian gland|Meibomian gland Enlargement]] (posterior blepharitis) | |||
*Waxy secretions at the gland openings (posterior blepharitis) | |||
*Lid margin [[neovascularization]] and dilation of existing blood vessels | |||
*[[Ulcerations]] along the eyelid margin. | |||
*[[Corneal nodules]] | |||
*Corneal margin ulcer | |||
*Superficial corneal pannus | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 21:06, 12 July 2016
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Blepharitis Microchapters | |
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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 or greasy appearing flake,
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
- Entropion
- Ectropion
- Trichiasis
- Madarosis (loss of lashes)
- Poliosis (loss of pigmentation of lashes)
- Distichiasis (abnormal growth of eyelashes)
- Diffuse conjunctival injection
Slit lamp Examination
The slit lamp examination can help distinguish anterior and posterior blepharitis.
- Meibomian gland Enlargement (posterior blepharitis)
- Waxy secretions at the gland openings (posterior blepharitis)
- Lid margin neovascularization and dilation of existing blood vessels
- Ulcerations along the eyelid margin.
- Corneal nodules
- Corneal margin ulcer
- Superficial corneal pannus