Blepharitis physical examination
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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.[1][2]
Physical Examination
Facial and Scalp Examination
Facial and scalp examination of patients with blepharitis is usually remarkable for:[1][2][3]
- 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)
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.
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Ectropion[5]
![Ectropion[5]](/index.php?title=Special:Upload&wpDestFile=Ectropion.jpeg){kind=link}
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 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.
- ↑ American Academy of Ophthalmology/eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016
- ↑ https://en.wikipedia.org/wiki/Ectropion#/media/File:Cycatricial_ectropion_-_eyes_open.jpeg
