NORSHAHIDAH BINTI ZAINAL

SD012017-04-002565
BLEPHARITIS
• Inflammation of the eyelids.
• Extremely common disease causes mostly to females and youngers

TYPES
 Posterior blepharitis affects the melbomian glands which secrete a
lubricating oil that allows the tear film to spread effectively.
 Anterior blepharitis affects the outer edge of the eyelids ,near the
eyelashes.
SYMPTOMS
• Irritation,itching,sore and red eyelids
• Lacrimation
• Crusty eyelashes
• Gluing of cilia
• Mild photophobia-increased sensitivity to light
• Loss of eyelashes
• Blurred vision occurs

CAUSES
 Seborrheic dermatitis — dandruff of the scalp and eyebrows
 A bacterial infection
 Clogged or malfunctioning oil glands in your eyelids
 Rosacea — a skin condition characterized by facial redness
 Allergies, including allergic reactions to eye medications, contact lens solutions or eye makeup
 Eyelash mites or lice
COMPLICATION
 Eyelash problem
 Eyelid skin problems
 Excess tearing or dry eyes
 Difficulty wearing contact lens
 Stye
 Chalazion
 Conjuntivitis
DIAGNOSTIC
 Slit-lamp examination

TREATMENT

 Cleaning the eyelids everyday-a warm flannel pressed againts the eyelid for 5-10
minutes and then the cotton bud should be remove crusting and any oils.
 Eye drops can be used to lubricate the surface of the eyes,helping to reduce dryness.
 Oral antibiotics if caused by rosacea
 Antibiotics ointments and cream can be applied directly to the eyelid.
PATIENT PARTICULAR
EYE EXAMINATION
• Acute ulcerative blepharitis is treated with an antibiotic ointment (eg,
bacitracin/polymyxin B, erythromycin, or gentamicin 0.3% qid for 7 to 10
days). Acute viral ulcerative blepharitis is treated with systemic antivirals
(eg, for herpes simplex, acyclovir 400 mg po tid for 7 days; for varicella
zoster, famciclovir 500 mg po tid or valacyclovir 1 g po tid for 7 days).

• Treatment of acute nonulcerative blepharitis begins with avoiding the

offending action (eg, rubbing) or substance (eg, new eye drops). Warm
compresses over the closed eyelid may relieve symptoms and speed
resolution. If swelling persists > 24 h, topical corticosteroids (eg,
fluorometholone ophthalmic ointment 0.1% tid for 7 days) can be used.
HEALTH EDUCATION

 Avoid rubbing of the eyes

 Apply a warm compress over your closed eye for several
minutes to loosen the crusty deposits on your eyelids.
 Rinse your eyelids with warm water and gently pat it dry with
a clean, dry towel.
 Stop using eye makeup when your eyelids are inflamed.
 Control dandruff and mites
SUMMARY
 Chronic inflammatory disorder of the eyelids and associated adnexal
structures.
 Significant cause of discomfort, causing foreign body sensation, burning,
itching, and crusting around eyelashes.
 Typical findings include lid erythema, collarettes around eyelashes, and
capped meibomian glands.
 In severe cases, corneal changes, including neovascularization, scarring,
ulceration, and perforation, can lead to visual impairment.
 Treatment is directed at maintaining eyelid hygiene and may require use of
topical corticosteroids and topical or oral antibiotics.
 Treatment of associated or underlying medical conditions is essential for
successful management of blepharitis.
 REFERENCES
• https://www.slideshare.net/hmirzaeee/blepharitis
• https://www.slideshare.net/AshishChaudhari13/case-reportblepharitis
• https://www.mayoclinic.org/diseases-conditions/blepharitis/symptoms-
causes/syc-20370141
• http://www.allaboutvision.com/conditions/blepharitis.htm
• https://www.webmd.com/eye-health/blepharitis
• https://patient.info/health/swollen-eyelid/blepharitis