Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- burning sensation
- itching sensation
- foreign body sensation
- crusting of eyelids
- dry eye
- lid erythema, telangiectasias
- collarettes around lashes
- capped meibomian glands
- conjunctival hyperemia
- unstable tear film with rapid tear break-up time
Outros fatores diagnósticos
- chalazion
- scalp changes
- contact lens intolerance
- photophobia
- facial telangiectasias, erythema, pustules, papules
- depigmentation of lashes
- trichiasis
- madarosis
- lid margin thickening, notching, and ulceration
- corneal changes
- decreased vision
Fatores de risco
- Demodex infection
- age ≥50 years
- female
- dermatologic disease
- intraocular or lid surgery/injury
Investigações diagnósticas
Investigações a serem consideradas
- lid biopsy
- lid margin culture
- microscopic evaluation of epilated eyelashes
Algoritmo de tratamento
no visual impairment
visual impairment secondary to corneal involvement
Colaboradores
Autores
Elaine Wu, MD
Ophthalmology Clinician
Kaiser Permanente
Union City
CA
Declarações
EW declares that she has no competing interests.
Agradecimentos
Professor Elaine Wu would like to gratefully acknowledge Professor Esen Akpek, a previous contributor to this topic.
Declarações
EA declares that she has no competing interests.
Revisores
Gus Gazzard, MA, MBBChir, MD, FRCOphth
Consultant Ophthalmic Surgeon
King's College Hospital
Honorary Research Fellow
Institute of Ophthalmology
London
UK
Declarações
GG declares that he has no competing interests.
Leejee H. Suh, MD
Assistant Professor of Ophthalmology
Bascom Palmer Eye Institute
Miami
FL
Declarações
LS declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Lin A, Ahmad S, Amescua G, et al. Blepharitis preferred practice pattern®. Ophthalmology. 2024 Apr;131(4):P50-86.Texto completo
American Academy of Ophthalmology. Cornea/external disease summary benchmarks - 2023. Dec 2023 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Dry eye syndrome
- Chalazion
- Squamous cell carcinoma
Mais Diagnósticos diferenciaisDiretrizes
- Blepharitis preferred practice pattern
- Meibomian gland dysfunction clinical practice guidelines
Mais DiretrizesConectar-se ou assinar para acessar todo o BMJ Best Practice
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