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]].<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>
Physical examination of patients with blepharitis is usually remarkable for irritated eyelid edges, hard crusting of the lashes, [[entropion]], [[ectropion]], [[poliosis]], and diffuse [[conjunctival injection]].<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>


==Physical Examination==
==Physical Examination==
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*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 flakes (seborrheic blepharitis)
*Cylindrical dandruff on the base of lashes (''Demodex folliculorum'')
*Cylindrical dandruff on the base of lashes (''Demodex folliculorum'')
*[[Telangiectasia]] on the anterior eyelid
*[[Telangiectasia]] on the anterior eyelid

Revision as of 19:44, 26 July 2016

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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, entropion, ectropion, poliosis, and diffuse conjunctival injection.[1][2]

Physical Examination

Skin Examination

Common skin examination findings of blepharitis include:[1][2][3]

Eye Examination

Common eye examination findings of blepharitis include:[4]

  • Pink or irritated eyelid edges
  • Hard crusting of the lashes (staphylococcal blepharitis)
  • Greasy appearing flakes (seborrheic blepharitis)
  • Cylindrical dandruff on the base of lashes (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. Wikipedia (2016). [1] Accessed on July 14, 2016
  6. Wikipedia (2016). [2] Accessed on July 15, 2016

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