Blepharitis

BLEPHARITIS Fadhlina Muharmi Hrp 0708112239

How is ble pha rit is di agnosed? ­

Patient history to determine any symptoms the

patient is experiencing and the presence of any general health problems that may be contributing to the eye problem. ­

External examination of the eye, including lid structure, skin texture and eyelash appearance.

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Evaluation of the lid margins, base of the

eyelashes and meibomian gland openings using bright light and magnification. ­

Evaluation of the quantity and quality of tears for any abnormalities.

Symptoms ­ ­ ­ ­ ­ ­ ­ ­

red and swollen eyelids itching & burning of the eyelid margins conjunctival irritation with lacrimation sensitivity to light (photophobia) blurred vision foreign body sensation crusting on eyelashes Loss of eyelashes may occur

A differentiation among the various types of blepharitis can often be made based on

the appearance of the eyelid margins :

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Staphyloccal blepharitis patients frequently exhibit mild

sticking together of the lids, thickened lid margins, and missing and misdirected eyelashes. Seborrheic blepharitis appears as greasy flakes or scales around the base of eyelashes and a mild redness of the eyelids. Ulcerative blepharitis is characterized by matted, hard crusts around the eyelashes that when removed, leave small sores that ooze and bleed. There may also be a loss of eyelashes, distortion of the front edges of the eyelids and chronic tearing. In severe cases, the cornea, the transparent front covering of the eyeball, may also become inflamed. Meibomian blepharitis is evident by blockage of the oil glands in the eyelids, poor quality of tears, and redness of the lining of the eyelids.

Acute ulcerative blepharitis is usually caused by bacterial infection of the eyelid margin at the origins of the eyelash follicles and the meibomian glands. Eyelid margins become

Chronic blepharitis is caused by noninfectious inflammation associated with seborrheic dermatitis, or with meibomian gland dysfunction such as occurs in patients with rosacea,

The crusty, grainy, or scaly appearance at the base of the eyelashes is the most

This is the classic appearance of blepharitis involving the outer angle of the eyelid, called

Chronic blepharitis can lead to misdirected eyelashes, misshapen eyelashes, and loss of

Di fferentia l Diagnose s ­

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Basal Cell Carcinoma, Eyelid Cellulitis, Preseptal Chalazion Conjunctivitis, Bacterial Conjunctivitis, Viral Contact Lens Complications Dermatitis, Contact Dry Eye Syndrome

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Hordeolum Keratitis, Bacterial Keratoconjunctivitis, Atopic Keratoconjunctivitis, Epidemic Keratoconjunctivitis, Sicca Keratoconjunctivitis, Superior Limbic Ocular Rosacea Trichiasis

Conjunctivitis,

Conjunctivitis,

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