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Blepharitis

Última revisão: 18 Aug 2025
Última atualização: 20 Nov 2024

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
Detalhes completos

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
Detalhes completos

Fatores de risco

  • Demodex infection
  • age ≥50 years
  • female
  • dermatologic disease
  • intraocular or lid surgery/injury
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • lid biopsy
  • lid margin culture
  • microscopic evaluation of epilated eyelashes
Detalhes completos

Algoritmo de tratamento

AGUDA

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

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

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

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