小结
定义
病史和体格检查
关键诊断因素
- 烧灼感
- 瘙痒感
- 异物感
- 眼睑结痂
- 干眼
- 眼睑红斑、毛细血管扩张
- 睫毛周围袖套样改变
- 睑板腺口堵塞
- 结膜充血
- 泪膜不稳定且泪膜破裂时间短
其他诊断因素
- 霰粒肿
- 头皮改变
- 畏光
- 面部毛细血管扩张、红斑、脓疱、丘疹
- 睫毛颜色变淡
- 倒睫
- 睫毛脱落
- 睑缘增厚、不平整、溃疡
- 角膜的改变
- 视力下降
危险因素
- 年龄≥ 50 岁
- 女性
- 皮肤疾病
- 眼内或眼睑手术/损伤
诊断性检查
需考虑的检查
- 眼睑活组织检查
- 睑缘组织培养
- 脱落睫毛的显微镜评估
治疗流程
无视力损害
视力损害继发于角膜受累
难治性睑缘炎
撰稿人
作者
Elaine Wu, MD
Assistant Professor of Ophthalmology
Kaiser Permanente
Union City
CA
利益声明
EW declares that she has no competing interests.
鸣谢
Professor Elaine Wu would like to gratefully acknowledge Professor Esen Akpek, a previous contributor to this topic. EA declares that she has no competing interests.
同行评议者
Gus Gazzard, MA, MBBChir, MD, FRCOphth
Consultant Ophthalmic Surgeon
King's College Hospital
Honorary Research Fellow
Institute of Ophthalmology
London
UK
利益声明
GG declares that he has no competing interests.
Leejee H. Suh, MD
Assistant Professor of Ophthalmology
Bascom Palmer Eye Institute
Miami
FL
利益声明
LS declares that she has no competing interests.
鉴别诊断
- 干眼症
- 霰粒肿
- 鳞状细胞癌
更多 鉴别诊断指南
- 临床管理指南:睑缘炎(睑缘疾病)
- 眼科临床指南 (Preferred practice pattern):睑缘炎
更多 指南登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
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