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Blepharitis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Common, usually chronic, inflammatory reaction of the eyelid margin

  • Commonly presents as irritation, burning, redness, flaking, crusting of the eyelids worse in morning, contact lens ...

DIAGNOSIS

HISTORY

  • Duration of symptoms

  • Unilateral or bilateral presentation

  • Note any exacerbating conditions (e.g., smoke, allergens, wind, contact lenses).

  • Pertinent past medical history: rosacea, herpet...

TREATMENT

GENERAL MEASURES

  • Promote proper eyelid hygiene (2,3)[C].

    • Apply warm compresses for several minutes at least once a day to soften adherent encrustations.

    • The eyelid margins then are scrubbed gen...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients should schedule a return visit if their condition worsens despite treatment.

  • Return visit intervals for patients with severe disease var...

REFERENCES

Tsai T, O'Brien JM. Masquerade syndromes: malignancies mimicking inflammation in the eye. Int Ophthalmol Clin.  2002;42(1):115–131.  [View Abstract]
American Academy of Ophthalmology ...

ADDITIONAL READING

American Academy of Ophthalmology. Blepharitis Summary Benchmarks For Preferred Practice Pattern Guidelines. San Francisco, CA: American Academy of Ophthalmology; 2015. 

SEE ALSO

Lacrimal Disorders (Dry Eye Syndrome) 

CODES

ICD10

  • H01.009 Unspecified blepharitis unspecified eye, unspecified eyelid

  • H01.019 Ulcerative blepharitis unspecified eye, unspecified eyelid

  • L21.8 Other seborrheic dermatitis

  • H01.029 Squamous blepha...

CLINICAL PEARLS

  • Blepharitis is often a chronic condition; symptoms frequently can be lessened but rarely are eliminated.

  • Promote proper eyelid hygiene.

  • Maxitrol ointment can be used for short-term contr...

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