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]]. | ||
==Physical Examination== | ==Physical Examination== | ||
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===External Examination of the eye=== | ===External Examination of the eye=== | ||
*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 flake ([[seborrheic blepharitis]] | *Greasy appearing flake ([[seborrheic blepharitis]]) | ||
*[[Entropion]] | *[[Entropion]] | ||
*[[Ectropion]] | *[[Ectropion]] | ||
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*[[Poliosis]] (loss of pigmentation of lashes) | *[[Poliosis]] (loss of pigmentation of lashes) | ||
*Distichiasis (abnormal growth of eyelashes) | *Distichiasis (abnormal growth of eyelashes) | ||
*Diffuse conjunctival injection | *Diffuse [[conjunctival injection]] | ||
===Slit lamp Examination=== | ===Slit lamp Examination=== | ||
The slit lamp examination can help distinguish anterior and posterior blepharitis. | The slit lamp examination can help distinguish anterior and posterior blepharitis. | ||
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*Lid margin [[neovascularization]] and dilation of existing blood vessels | *Lid margin [[neovascularization]] and dilation of existing blood vessels | ||
*[[Ulcerations]] along the eyelid margin. | *[[Ulcerations]] along the eyelid margin. | ||
* | *Corneal nodules | ||
*Corneal margin ulcer | *Corneal margin ulcer | ||
*Superficial corneal pannus | *Superficial corneal pannus | ||
Revision as of 21:13, 12 July 2016
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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.
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