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睑缘炎

最后审阅: 11 Oct 2024
最后更新: 21 Nov 2023

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
完整详情

其他诊断因素

  • 霰粒肿
  • 头皮改变
  • 角膜接触镜不耐受
  • 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
完整详情

危险因素

  • 蠕形螨感染
  • 年龄≥ 50 岁
  • 女性
  • 皮肤疾病
  • 眼内或眼睑手术/损伤
完整详情

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
完整详情

治疗流程

急症处理

无视力损害

继发于角膜受累的视力受损

撰稿人

作者

Elaine Wu, MD

Ophthalmology Clinician

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.

利益声明

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.

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