Eyelid Rim Inflammation (Blepharitis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of blepharitis (eyelid margin inflammation). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you … Eyelid Rim Inflammation (Blepharitis): Medical History

Eyelid Rim Inflammation (Blepharitis): Or something else? Differential Diagnosis

Eyes and Ocular Appendages (H00-H59). Allergic blepharitis – mainly triggered by eye ointments or cosmetics. Hyper secretion of the eyelid glands Skin and subcutaneous tissue (L00-L99) Scaling dermatitis, unspecified. Infectious and parasitic diseases (A00-B99). Infectious blepharitis – mainly caused by bacteria and viruses. Neoplasms – tumor diseases (C00-D48). Neoplasms of the eyelid

Eyelid Rim Inflammation (Blepharitis): Examination

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 Ophthalmic examination – inspection of the eyelids, testing the position of the eyelids, determination of visual acuity, slit lamp examination. In individual cases, the … Eyelid Rim Inflammation (Blepharitis): Examination

Eyelid Rim Inflammation (Blepharitis): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Eyelid margin swab for bacteriologic examination. “In cases of purulent inflammation of the eyelid, a swab should be made from the inflamed area by swabbing or rolling the swab over the affected … Eyelid Rim Inflammation (Blepharitis): Test and Diagnosis

Eyelid Rim Inflammation (Blepharitis): Drug Therapy

Therapeutic target Elimination of pathogens in bacterial blepharitis. Therapy recommendations General measures: Tear substitute fluid and lid margin care (see “Further therapy” below). Antibiosis (antibiotic therapy) in bacterial blepharitis; duration of therapy: at least 5 days (discontinue after one more day of treatment if no symptoms). Dosage information: If other eye drops / ophthalmic ointments … Eyelid Rim Inflammation (Blepharitis): Drug Therapy

Eyelid Rim Inflammation (Blepharitis): Prevention

To prevent blepharitis (eyelid margin inflammation), attention must be paid to reducing individual risk factors. Behavioral risk factors Staying in dry dusty air; smoke. Frequent eye rubbing Chemical substances (e.g. in cosmetics). Insufficient hygiene Environmental pollution – intoxications (poisonings). Smoke Dust Temperature extremes: heat and cold Draft/wind

Eyelid Rim Inflammation (Blepharitis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate blepharitis (eyelid rim inflammation): Eyelid margin reddened and swollen (especially after sleeping). Adhesions of the eyelids Failure of the eyelashes Blepharitis often occurs in combination with conjunctivitis (inflammation of the conjunctiva) and is then called blepharoconjunctivitis.Blepharitis is also mentioned in connection with “dry eye” (keratoconjunctivitis sicca).

Eyelid Rim Inflammation (Blepharitis): Causes

Pathogenesis (development of disease) Blepharitis can result from a variety of triggers: Infections: Viruses: herpes simplex, herpes zoster Bacteria: Staphylococci and Streptococci; Pseudomonas, Proteus and anaerobes. Parasites: Pediculosis pubis (crab lice infestation), Pediculosis capitis (head lice infestation). Mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae. Skin diseases (see below). External factors: see below “Behavioral causes” and “Environmental … Eyelid Rim Inflammation (Blepharitis): Causes