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blepharitis
BLEPHARITIS
Blepharitis is an inflammation process affecting the eyelid margins, eyelash follicles or openings of the anteriorly-placed accessory lacrimal glands and the posteriorly-placed Meibomian glands that causes ocular irritation and redness acutely but usually chronically.
It may have periods of exacerbations and remissions.
It usually occurs in middle-aged adults but can also start in childhood.
Can affect vision by disrupting the surface of the cornea and the bulbar conjunctiva; may influence tear film composition.

Blepharitis Management

Follow Up

  • Follow-up visits are based on the severity of symptoms & signs, current treatment & comorbid factors
  • Includes interval history, visual acuity measurement, external exam, slit-lamp biomicroscopy, & intraocular pressure (IOP) measurement
  • Patients should be re-evaluated w/in a few weeks to determine the response to therapy & assess compliance to the treatment regimen
  • Prompt referral to an ophthalmologist is recommended if any of the following is observed
    • Visual loss
    • Moderate or severe pain
    • Severe or chronic redness
    • Involvement of the cornea
    • Recurrent episodes
    • Lack of response to treatment
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