View source for Blepharitis

==Background==

==Clinical Features==
*Sore/itchy
*Inflammation of lid margin with ocular irritation, matted lashes
*Blurry vision
*Tearing
*Crusting at the lid margins
*Distinguish anterior from posterior blepharitis using slit lamp
**Posterior - swelling and pluggin of meibomian gland openings
**Anterior - on external exam, material such as greasy flakes (seborrheic) or hard crust (staph) surrounds eyelashes

==Differential Diagnosis==
{{Periorbital swelling DDX}}

==Evaluation==
*Clinical diagnosis

==Management==
*Lid hygiene most important for both anterior and posterior blepharitis
*Avoid eye-makeup
*Warm compresses 15min 4x/day
*Scrub with mild shampoo BID
*Consider topical [[erythromycin]] or [[bacitracin]] directly onto lid margin
*No conclusive evidence for oral antibiotics or topical steroids

==Disposition==
*Outpatient optho - chronic condition without definitive cure

==See Also==
*[[Red Eye (Bilateral)]]

[[Category:Ophthalmology]]

==References==