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Blefarite

Última revisão: 14 Sep 2025
Última atualização: 20 Nov 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • sensação de ardência
  • sensação de prurido
  • sensação de corpo estranho
  • incrustações das pálpebras
  • olho seco
  • eritema palpebral, telangiectasias
  • colaretes ao redor dos cílios
  • glândulas meibomianas cobertas
  • hiperemia conjuntival
  • filme lacrimal instável com um tempo de desagregação curto
Detalhes completos

Outros fatores diagnósticos

  • calázio
  • alterações no couro cabeludo
  • intolerância a lentes de contato
  • fotofobia
  • telangiectasias faciais, eritema, pústulas, pápulas
  • despigmentação dos cílios
  • triquíase
  • madarose
  • espessamento, incisura e ulceração da margem palpebral
  • alterações corneanas
  • diminuição da visão
Detalhes completos

Fatores de risco

  • Infecção por ácaros demodex
  • idade ≥50 anos
  • mulheres
  • doença dermatológica
  • cirurgia/lesão intraocular ou da pálpebra
Detalhes completos

Pruebas diagnósticas

Pruebas diagnósticas que deben considerarse

  • biópsia palpebral
  • cultura da margem da pálpebra
  • avaliação microscópica dos cílios epilados
Todos los datos

Algoritmo de tratamiento

Agudo

sem comprometimento visual

comprometimento visual resultante de envolvimento corneano

Colaboradores

Autores

Elaine Wu, MD

Ophthalmology Clinician

Kaiser Permanente

Union City

CA

Divulgaciones

EW declares that she has no competing interests.

Agradecimientos

Professor Elaine Wu would like to gratefully acknowledge Professor Esen Akpek, a previous contributor to this topic.

Divulgaciones

EA declares that she has no competing interests.

Revisores por pares

Gus Gazzard, MA, MBBChir, MD, FRCOphth

Consultant Ophthalmic Surgeon

King's College Hospital

Honorary Research Fellow

Institute of Ophthalmology

London

UK

Disclosures

GG declares that he has no competing interests.

Leejee H. Suh, MD

Assistant Professor of Ophthalmology

Bascom Palmer Eye Institute

Miami

FL

Disclosures

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.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Lin A, Ahmad S, Amescua G, et al. Blepharitis preferred practice pattern®. Ophthalmology. 2024 Apr;131(4):P50-86.Full text

American Academy of Ophthalmology. Cornea/external disease summary benchmarks - 2023. Dec 2023 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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