Blepharitis
Publication Date: October 31, 2018
HIGHLIGHTED FINDINGS AND RECOMMENDATIONS FOR CARE
In the management of ocular surface disease, it is helpful to distinguish blepharitis and meibomian gland dysfunction (MGD) from aqueous deficient dry eye. Worsening of symptoms in the morning is typical of blepharitis, whereas worsening of the symptoms later in the day are typical of aqueous deficient dry eye.
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Blepharitis is typically a chronic condition that cannot be permanently cured, and successful management is dependent on patient compliance with a treatment regimen. This should be explained to the affected patient. (, , )
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Topical antibiotic ointments with or without corticosteroids or oral antibiotics can be used effectively in the treatment of blepharitis. Although azithromycin is used as a treatment for blepharitis, it may be hazardous when used orally in patients with cardiovascular problems. Specifically, oral azithromycin may lead to abnormalities in the electrical activity of the heart, with the potential to create serious irregularities in heart rhythm. (, , )
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In patients with blepharitis who do not respond to therapy, the possibility of carcinoma or immune-mediated diseases should be considered, particularly if the blepharitis is associated with a loss of eyelashes and/or conjunctival cicatricial changes. Early diagnosis and appropriate treatment can prevent disfigurement and may be lifesaving.
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Overview
Title
Blepharitis
Authoring Organization
American Academy of Ophthalmology
Publication Month/Year
October 31, 2018
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
Establish the diagnosis of blepharitis, differentiating it from other causes of irritation and redness. Identify the type of blepharitis. Establish appropriate therapy. Relieve discomfort and pain. Prevent complications. Educate and engage the patient in the management of this potentially chronic disease
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Emergency care, Outpatient
Intended Users
Optometrist, nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Management, Treatment
Diseases/Conditions (MeSH)
D001762 - Blepharitis, D005141 - Eyelid Diseases
Keywords
blepharitis, eye inflammation, eyelid swelling
Methodology
Number of Source Documents
115
Literature Search Start Date
March 1, 2017
Literature Search End Date
June 1, 2018