Patient will present as → a 37-year-old male with crusting, scaling, red-rimming of the eyelid, and eyelash flaking along with dry eyes. The patient has a history of seborrheic dermatitis and rosacea.
Chronic inflammation of the eyelids without mass and without significant pain, caused by a dysfunctional meibomian gland or staph infection
- Associated with seborrhea and rosacea
- Crusty eyelids in the AM
Blepharitis is a clinical diagnosis based on characteristic findings of redness and irritation of the eyelid margin associated with crusting or flakes on the lashes or lid margins
- Slit-lamp examination allows for a more detailed examination; however, is generally not necessary to make the diagnosis.
- Chronic blepharitis that does not respond to treatment may require a biopsy to exclude eyelid tumors that can simulate the condition
Treat with warm compresses, irrigation, lid massage, and topical antibiotics for flare-ups
- Daily lid wash with baby shampoo
Antibiotic ointment (eg, bacitracin/polymyxin B, erythromycin, or gentamicin 0.3% qid for 7 to 10 days)
Warm compresses over the closed eyelid
Tear supplements during the day
Gentle cleansing of the eyelid margin 2 times a day with a cotton swab dipped in a dilute solution of baby shampoo (2 to 3 drops in ½ cup of warm water)
all of the above
Autoimmune destruction of meibomian glands
Autoimmune destruction of meibomian glands is more indicative of conditions like meibomian gland dysfunction, not anterior blepharitis.
Infection of the eyelid margin by Staphylococcus species
Allergic reaction to environmental antigens
Allergic reactions can cause eyelid inflammation but are not the primary mechanism of blepharitis.
Blockage of the lacrimal drainage system
Blockage of the lacrimal drainage system leads to conditions like dacryocystitis, not blepharitis.
Degenerative changes in the tarsal plate
Degenerative changes in the tarsal plate are not associated with blepharitis.
Eyelid erythema and scaling at the lash base
Painless, firm nodule on the eyelid
A painless, firm nodule on the eyelid is more indicative of a chalazion.
Outward turning of the eyelid margin
Outward turning of the eyelid margin describes ectropion, not blepharitis.
Inward turning of the eyelid margin
Inward turning of the eyelid margin is characteristic of entropion, not blepharitis.
Acute, localized swelling of the eyelid
Acute, localized swelling of the eyelid is suggestive of a hordeolum (stye), not blepharitis.