Blepharitis

Blepharitis
SYMPTOMS Itch, burn, discomfort
SIGNS Red, swollen, crusty lids | collarettes | cylindrical sleeves around lashes
WORK-UP Thorough history. Slit lamp examination
TREATMENT Lid hygiene | microblepharoexfoliation | warm compresses
antibiotic or antibiotic/steroid combination drop/ointment
Oral antibiotics | Doxycycline 100mg bid | Azithromycin (Z-pak)
FOLLOW-UP 2-4 weeks
ADDITIONAL LAB | TESTS None
ETIOLOGY Complex etiology. Most commonly caused by inflammation and bacteria (primarily staphylococcal species).
DIFFERENTIAL DX Pediculosis | demodicosis
NOTES Anterior Blepharitis: affects lid structures anterior to the gray line | Posterior Blepharitis: affects meibomian glands | Association with dry eye syndrome, demodicosis, and rosacea.

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