Blepharitis physical examination: Difference between revisions

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===Skin Examination===
===Skin Examination===
Skin examination of patients with blepharitis is usually remarkable for:<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><ref name="pmid19383269">{{cite journal| author=Lemp MA, Nichols KK| title=Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment. | journal=Ocul Surf | year= 2009 | volume= 7 | issue= 2 Suppl | pages= S1-S14 | pmid=19383269 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19383269  }} </ref>
Skin examination of patients with blepharitis is usually remarkable for:<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><ref name="pmid19383269">{{cite journal| author=Lemp MA, Nichols KK| title=Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment. | journal=Ocul Surf | year= 2009 | volume= 7 | issue= 2 Suppl | pages= S1-S14 | pmid=19383269 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19383269  }} </ref>
*Itching and flaking scalp or facial skin ([[seborrheic dermatitis]])
*Itching and flaking of scalp or facial skin ([[seborrheic dermatitis]])
*Facial flushing ([[acne rosacea]])
*Facial flushing ([[acne rosacea]])
*Broken or swollen blood vessels on cheeks and nose, and red or swollen nose ([[acne rosacea]])
*Broken or swollen blood vessels on cheeks and nose, and red or swollen nose ([[acne rosacea]])
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Image:Ectropion.jpeg|Ectropion<ref name=Image-Blepharitis-3 > [https://en.wikipedia.org/wiki/Ectropion#/media/File:Cycatricial_ectropion_-_eyes_open.jpeg] Accessed on July 14, 2016 </ref>
Image:Ectropion.jpeg|Ectropion<ref name=Image-Blepharitis-3 > [https://en.wikipedia.org/wiki/Ectropion#/media/File:Cycatricial_ectropion_-_eyes_open.jpeg] Accessed on July 14, 2016 </ref>


Image:|Entropion.jpeg|Entropion<ref name=Image-Blepharitis-4 > [https://en.wikipedia.org/wiki/Entropion#/media/File:Entropion_and_trichiasis_secondary_to_trachoma_A44-652-11.jpg] Accessed on July 15, 2016 </ref>
Image:Entropion.jpeg|Entropion<ref name=Image-Blepharitis-4 > [https://en.wikipedia.org/wiki/Entropion#/media/File:Entropion_and_trichiasis_secondary_to_trachoma_A44-652-11.jpg] Accessed on July 15, 2016 </ref>


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Revision as of 17:08, 15 July 2016

Blepharitis Microchapters

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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 or greasy appearing flake, entropion, ectropion, poliosis, and diffuse conjunctival injection.[1][2]

Physical Examination

Skin Examination

Skin examination of patients with blepharitis is usually remarkable for:[1][2][3]

Eye Examination

Eye examination of patients with blepharitis is usually remarkable for:[4]

  • Pink or irritated eyelid edges
  • Hard crusting of the lashes (staphylococcal blepharitis)
  • Greasy appearing flake (seborrheic blepharitis)
  • Cylindrical dandruff covers base of lash (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.


References

  1. 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. 2.0 2.1 THYGESON P, VAUGHAN DG (1954). "Seborrheic blepharitis". Trans Am Ophthalmol Soc. 52: 173–88. PMC 1312591. PMID 13274422.
  3. 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.
  4. American Academy of Ophthalmology/eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016
  5. [1] Accessed on July 14, 2016
  6. [2] Accessed on July 15, 2016

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