Blepharitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include history of smoking, use of retinoids, prior history of acne rosacea, and history of seborrheic dermatitis. Common symptoms of blepharitis include red, swollen,and itchy eyelids, burning sensation, crusting or matting of eyelashes in the morning, light sensitivity, blurred vision, and oily skin.[1][2]

History

A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1][2][3]

  • Duration of symptoms (chronic course with intermittent exacerbations and eruptions)
  • Unilateral or bilateral presentation
  • History of seborrheic dermatitis (which may be associated with symptoms of scalp itching, flaking, and oily skin)
  • History of rosacea (which amy be associated with oily skin, food and environmental intolerances, red and swollen nose, and facial flushing)
  • History of smoking and retinoids use
  • History of acne or eczema

Symptoms

Symptoms of blepharitis may include the following:[3][4][5]

References

  1. 1.0 1.1 Pelletier JS, Stewart KP, Capriotti K, Capriotti JA (2015). "Rosacea Blepharoconjunctivitis Treated with a Novel Preparation of Dilute Povidone Iodine and Dimethylsulfoxide: a Case Report and Review of the Literature". Ophthalmol Ther. 4 (2): 143–50. doi:10.1007/s40123-015-0040-4. PMC 4675729. PMID 26525679.
  2. 2.0 2.1 Blepharitis. PubMed Health. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0023008/ Accessed on July 13, 2016
  3. 3.0 3.1 Blepharitis. American Academy of Ophthalmology/eyewiki. (2014) http://eyewiki.org/Blepharitis Accessed on July 14, 2016
  4. Lemp MA, Nichols KK (2009). "Blepharitis in the United States 2009: a survey-based perspective on prevalence and treatment". Ocul Surf. 7 (2 Suppl): S1–S14. PMID 19383269.
  5. Raskin EM, Speaker MG, Laibson PR (1992). "Blepharitis". Infect Dis Clin North Am. 6 (4): 777–87. PMID 1460262.