Blepharitis

Inflammation of the eyelid, which can be caused by infection, seborrhea or rosacea.

Clinical Features

• Symptoms: burning, itching, deposits or mattering of the lashes and foreign body sensation
• Signs:
  • Erythema, thickening and telangiectasia of the lid margins
  • May present with angular blepharitis
  • Unstable tear film due to meibomian gland dysfunction
  • May be complicated with superficial punctate keratitis, dry eye symptoms, corneal neovascularization, corneal infiltrates, trichiasis, poliosis and lash loss

Management

• Warm compresses
• Lid hygiene
• Topical antibiotics
• Topical steroids ointment for recalcitrant cases