Blepharitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Facial and Scalp Examination=== | ===Facial and Scalp Examination=== | ||
Facial and scalp examination of patients with blepharitis is usually remarkable for:<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> | Facial and scalp 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 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]]) | ||
===Eye Examination=== | ===Eye Examination=== | ||
Eye examination of patients with blepharitis is usually remarkable for: | Eye examination of patients with blepharitis is usually remarkable for:<ref name=Blepharitis-1> American Academy of Ophthalmology/ eyewiki (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016 </ref> | ||
*Pink or irritated eyelid edges | *Pink or irritated eyelid edges | ||
*Hard crusting of the lashes (staphylococcal blepharitis) | *Hard crusting of the lashes (staphylococcal blepharitis) | ||
Revision as of 21:07, 14 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.[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)
- 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.
-
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
