Blepharitis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 13: | Line 13: | ||
==Treatment== | ==Treatment== | ||
# | #Lid hygiene most important for both anterior and posterior blepharitis | ||
# | #Warm compresses 15min 4x/day | ||
# | #Scrub w/ mild shampoo BID | ||
#Consider topical erythromycin or bacitracin directly onto lid margin | |||
#No conclusive evidence for oral antibiotics or topical steroids | |||
#Outpt ophtho - chronic condition without definitive cure | |||
==See Also== | ==See Also== | ||
Revision as of 13:50, 19 September 2014
Diagnosis
- sore/itchy
- inflammation of lid margin w/ ocular irritation, matted lashes
- Distinguish anterior from posterior blepharitis using slit lamp
- Posterior - swelling and pluggin of meibomian gland openings
- Anterior - on external exam, material such as greasy flakes (seborrheic) or hard crust (staph) surrounds eyelashes
DDx
- Hordeolum
- Chalazion
- Dry eye
- Contact lens intolerance
Treatment
- Lid hygiene most important for both anterior and posterior blepharitis
- Warm compresses 15min 4x/day
- Scrub w/ mild shampoo BID
- Consider topical erythromycin or bacitracin directly onto lid margin
- No conclusive evidence for oral antibiotics or topical steroids
- Outpt ophtho - chronic condition without definitive cure