II. Types

  1. Anterior Blepharitis
    1. Affects base of eyelashes
    2. Associated with staphylococcal infection or Seborrhea
  2. Posterior Blepharitis
    1. Affects meibomian gland openings
    2. Associated with meibomian gland dysfunction

III. Symptoms

  1. Pruritus
  2. Local irritation and burning

IV. Signs

  1. Inflammation of Eyelid margin at the lash follicles
  2. Moderate lid swelling along lash line
  3. Lower Eyelid is usually more affected
  4. Soft, oily Yellow SkinScaling

V. Differential Diagnosis

VI. Associated Conditions

VII. Labs

  1. Eyelid margin culture
    1. Indicated in recurrent anterior Blepharitis
  2. Biopsy
    1. Indicated in refractory cases where skin cancer is considered

VIII. Management

  1. Clean lid margins twice daily
    1. Pull lower lid down to scrub against orbital rim
    2. Apply warm compress for 2 minutes
      1. Loosens debris
      2. Helpful in severe Blepharitis
    3. Gently massage posterior lid to express meibomian gland contents
    4. Scrub lid margins with warm cloth
    5. Scrub lashes and lid margins with dilute baby Shampoo on cotton swab
    6. Wipe lid margins with warm cloth after scrubbing
  2. Acute infectious flare-up (e.g. staphylococcal Blepharitis)
    1. Erythromycin or Bacitracin ophthalmic ointment to lid margin at bedtime for 1-2 weeks
  3. Meibomian gland dysfunction
    1. Tetracycline 250 mg four times daily orally for 4 weeks or
    2. Doxycycline 100 mg twice daily orally for 4 weeks
  4. Refractory cases
    1. Consider brief use of Topical Corticosteroids (e.g. Tridesilon 0.05% bid for 5-10 days)
  5. Treat associated Seborrheic Dermatitis

IX. Complications

  1. Eyelash loss
  2. Eyelash loss with Corneal scarring

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Ontology: Blepharitis (C0005741)

Definition (MSHCZE) Zánět očních víček (okrajů víček). Na okrajích víček se objevuje mírné zarudnutí a mezi řasami jsou patrné šupinky. Častěji trpí tímto zánětem osoby s větším mazotokem (viz seborea) a lupy ve vlasech. Závažnější je hnisavý zánět způsobený bakteriemi (zejm. stafylokokem). Léčebně se odstraňují šupinky, používají se lokálně antiseptika či antibiotika. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ )
Definition (NCI) Inflammation of the eyelids near the eyelashes.(NICHD)
Definition (MSH) Inflammation of the eyelids.
Concepts Disease or Syndrome (T047)
MSH D001762
ICD9 373.00, 373.9, 373.0
ICD10 H01.0 , H01.9, H01.00
SnomedCT 193907001, 193909003, 155170007, 155171006, 155175002, 193910008, 396712002, 193925008, 193908006, 41446000
English Blepharitides, Inflammation of eyelids, Unspecified inflammation of eyelid, BLEPHARITIS, Blepharitis, unspecified, Eyelid inflammation NOS, Inflammation of eyelid, unspecified, Blepharitis, blepharitis (diagnosis), blepharitis, Blepharitis NOS, Inflammation eyelid NOS, Unspecified blepharitis, Inflammation of eyelid NOS, Blepharitis [Disease/Finding], Inflammation;eyelid, inflammation eyelids, inflammation of eyelid, eyelid inflammation, eyelid inflammation (diagnosis), Eyelid inflammation NOS (disorder), Eyelid inflammation (disorder), Blepharitis NOS (disorder), Unspecified blepharitis (disorder), Inflammation of lid margin, Eyelid inflammation, Blepharitis (disorder), Inflammation of eyelid, eyelid; inflammation, inflammation; eyelid, tarsitis, Blepharitis, NOS, Inflammation of eyelid, NOS, inflammation of the eyelid
French BLEPHARITE, Blépharite, non précisée, Inflammation des paupières, Inflammation non précisée de la paupière, Blépharite
Portuguese BLEFARITE, Blefarite NE, Inflamação das pálpebras, Inflamação NE da pálpebra, Blefarite
Spanish BLEFARITIS, Blefaritis no especificada, Inflamación no especificada del párpado, Inflamación de los párpados, inflamación palpebral, SAI, inflamación de párpado (trastorno), blefaritis no especificada (trastorno), inflamación de párpado, inflamación palpebral, SAI (trastorno), blefaritis, SAI (trastorno), Eyelid inflammation NOS, blefaritis, SAI, blefaritis no especificada, blefaritis (trastorno), blefaritis, inflamación del párpado, Blefaritis
German BLEPHARITIS, Entzuendung des Augenlids, Blepharitis, unspezifisch, unspezifische Entzuendung des Augenlids, Entzuendung des Augenlides, nicht naeher bezeichnet, Blepharitis, Augenlidentzündung, Lidentzündung
Dutch blefaritis niet-gespecificeerd, ontsteking van oogleden, niet-gespecificeerde ontsteking van ooglid, ontsteking; ooglid, ooglid; ontsteking, Ontsteking van ooglid, niet gespecificeerd, blefaritis, Blefaritis
Italian Blefarite, non specificata, Infiammazione delle palpebre, Infiammazione della palpebra non specificata, Blefarite
Japanese 眼瞼炎、詳細不明, 眼瞼の炎症, 眼瞼炎, 詳細不明の眼瞼の炎症, ガンケンエンショウサイフメイ, ガンケンノエンショウ, ガンケンエン, ショウサイフメイノガンケンノエンショウ
Swedish Ögonlocksinflammation
Czech blefaritida, zánět očních víček, Blefaritida, Blíže neurčená blefaritida, Zánět očních víček, Blíže neurčený zánět očního víčka
Finnish Luomitulehdus
Russian BLEFARIT, БЛЕФАРИТ
Korean 상세불명의 눈꺼풀의 염증, 눈꺼풀염
Polish Zapalenie brzegów powiek
Hungarian Szemhéjak gyulladása, Nem meghatározott szemhéj gyulladás, Blepharitis, nem meghatározott, Blepharitis
Norwegian Øyenlokksbetennelse, Øyelokksbetennelse, Blefaritt