| ID | 254 |
|---|---|
| Name | BLEPHARITIS |
| Cause | Causes: 1. External irritants- e.g dust, wind, smoke and cosmetics. 2. Unhygienic condition. 3. Error of refraction. 4. Parasitic infection (loa-loa). 5. Staphylococcal infection (exciting causes). |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | It is a subacute or chronic inflammation of the lid margin tends to affect surrounding skin & conjunctiva. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: Ulcerative blepharitis: Symptoms- 1. Soreness of the lid margin. 2. Lacrimation, itching & photophobia. Signs- 1 Deposition of yellow crusts at the root of the eye lashes. 2. On removing the crusts, small ulcers appear around the base of the lashes which bleed freely. 3. Falling of eye-lashes. 4. Lid margin may be thickened. Squamous blepharitis: Symptoms- 1. No pain but discomfort. 2. Epiphora, (overflow of tear) Signs- 1. Accumulation of white scale like dandruff on the lid margin. 2. On removing the scales lid margin, appears hyperaemic but there is no ulceration. 3. Falling of eyelashes, but they replaced quickly distortion. 4. Lid margin may be thickened. |
| Preventions | |
| Treatment | Treatment: General- 1 Improvement of hygienic condition. 2. Balanced diet with vitamins. 3. Correction of error of refraction. Local- 1. Removal of scales & crusts from lid margin with 3% sodi-bi-carb solution. 2. Antibiotic ointment- 3-4 times daily. 3. Capsule tetracycline 250mg 12 hourly for 14 days. 4. After healing of ulcer, hydrocortisone ointment 1% has to be applied 3 times daily to the lid margin. 5. Treatment of complications (if any). |
| Complications | |
| Prognosis | |
| Types | Type: A. Squamous type. B. Ulcerative type. |
| Classification | |
| Observation | |
| Pathology |
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