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  • Inflammation of eyelids
  • Acute (ulcerative or nonulcerative)
  • Chronic (meibomian gland dysfunction, seborrheic blepharitis)

Clinical Features

Blepharitis of right eye.
Scaling and bacterial debris at the base of the eyelashes.
Infant with blepharitis of right side.
  • Sore/itchy
  • Inflammation of lid margin with ocular irritation, matted lashes
  • Blurry vision
  • Tearing
  • Crusting at the lid margins
  • Distinguish anterior from posterior blepharitis using slit lamp
    • Posterior - swelling and plugging of meibomian gland openings
    • Anterior - on external exam, material such as greasy flakes (seborrheic) or hard crust (staph) surrounds eyelashes

Differential Diagnosis

Periorbital swelling


No proptosis

Lid Complications



  • Clinical diagnosis


  • Lid hygiene most important for both anterior and posterior blepharitis
  • Avoid eye-makeup
  • Warm compresses 15min 4x/day
  • Scrub with mild shampoo BID
  • Consider topical erythromycin or bacitracin directly onto lid margin
  • No conclusive evidence for oral antibiotics or topical steroids


  • Outpatient optho - chronic condition without definitive cure

See Also