Blepharitis

Difinition :
Chronic inflammation of the eyelid margin is called blepharitis.

Classification :
1. Anterior blepharitis
2. Posterior blepharitis.

Signs and symptoms :
--burning sensation
--photophobia
--watering
--madarosis ( falling of the eyelashes )
--poliosis ( whitening of the eye lashes)
--itching
--gritty sensation
--greasy eye lashes

Secondary cause by blepharitis :
--dry eye syndrome
--conjunctivitis
--keratitis
--stye
--meibomitis
--chalagion

Organism : stephylococcus

Management :
-- lid hygiene with baby shampoo
--warm compress
--systemic tetracycline
1. Tetracycline 250 mg q.i.d for 1 week then b.d for 5 to 12 weeks
2. Doxycycline 100 mg b.d for 1 week then daily for 5 to 12 weeks
3. Minicycline 100 mg daily for 6 to 12 weeks.
--Erythromycin for children and pregnent women
--Artficial eye drop ( 4 to 6 times daily )
--Antibiotic eye ont and drop
--Steroid eye oint and drop.

Follow up neccessary.