Blepharitis: Difference between revisions

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##Posterior - swelling and pluggin of meibomian gland openings
##Posterior - swelling and pluggin of meibomian gland openings
##Anterior - on external exam, material such as greasy flakes (seborrheic) or hard crust (staph) surrounds eyelashes
##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==
==Treatment==

Revision as of 13:44, 19 September 2014

Diagnosis

  1. sore/itchy
  2. inflammation of lid margin w/ ocular irritation, matted lashes
  3. Distinguish anterior from posterior blepharitis using slit lamp
    1. Posterior - swelling and pluggin of meibomian gland openings
    2. 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

  1. warm compresses 15min 4x/day
  2. scrub w/ mild shampoo BID
  3. outpt ophtho

See Also

Red Eye (Bilateral)

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