General measures Always use eye drops before eye ointments Eyelid margin hygiene and eyelid margin care (eyelid edge care): Morning and evening hot compresses (at least 39 ° C; melting point of meibom lipids: 28-32 ° C; in meibom gland dysfunction: – 35 ° C) for 5-15 minutes on the closed eyelids, thereby liquefying the … Eyelid Diseases: Therapy
Medical history (history of the patient) represents an important component in the diagnosis of eyelid disease (eyelid problems). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Are there any hereditary diseases in your family? Social history What is your profession? Are you exposed … Eyelid Diseases: Medical History
Eyes and ocular appendages (H00-H59). Acute inflammation of the orbit (eye socket). Blepharitis (inflammation of the eyelid margin) Blepharospasm (eyelid spasm) Chalazion (hailstone) Dacryocystitis (inflammation of the lacrimal sac) Ectropion – outward rotation of the eyelid. Entropion (rolled eyelid) – inward rotation of the eyelid; possibly also the presence of trichiasis (eyelash rubbing; rubbing eyelashes … Eyelid Diseases: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Eyes If necessary, ophthalmological examination – examination of the eye with a slit lamp, determination of visual acuity and determination of refraction (examination of the … Eyelid Diseases: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment if necessary. Fasting blood glucose (fasting glucose). Renal parameters – urea, creatinine – if nephrotic syndrome is suspected 24h … Eyelid Diseases: Lab Test
Obligatory medical device diagnostics. Ophthalmoscopy (ophthalmoscopy). Slit lamp examination (slit lamp microscope). Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic clarification. Computed tomography or magnetic resonance imaging of the skull (cranial CT/ MRI) – for further diagnostics in … Eyelid Diseases: Diagnostic Tests
The following symptoms and complaints may occur together with eyelid disease (eyelid problems): Symptoms Pain Tear flow Swelling of the eyelids Itching Notes Repetitive twitching of the orbicularis oculi muscle/ocular ring muscle (myokymia) is harmless. In case of xanthelasmia, think of hyperlipoproteinemia (dyslipidemia). In alopecia (hair loss), a loss of eyelashes is a negative sign. … Eyelid Diseases: Symptoms, Complaints, Signs
