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Inflammatory & Trauma
Blepharitis

  • Inflammation of the eyelid, which can be caused by infection, seborrhea or rosacea.
  • Clinical features:
    • Symptoms: burning, itching, deposits or mattering of the lashes and foreign body sensation
    • Signs:
      • Erythema, thickening and telangiectasia of the lid margins
      • May present with angular blepharitis
      • Unstable tear film due to meibomian gland dysfunction
      • May be complicated with superficial punctate keratitis, dry eye symptoms, corneal neovascularization, corneal infiltrates, trichiasis, poliosis and lash loss
  • Management:
    • Warm compresses
    • Lid hygiene
    • Topical antibiotics
    • Topical steroids ointment for recalcitrant cases
    • Systemic tetracycline or doxycycline

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