Blepharitis is a common ocular disease seen and managed in the OPD. This presentation tries to cover the overview of the disease and its management.

2.  Family of inflammatory disease processes
of the eyelid(s).
 Common cause of ocular discomfort and
irritation.
 Usually bilateral and symmetrical.

3. Blepharitis
PosteriorAnterior
Staphylococcal
Seborrhoeic
Meibomian Gland
dysfunction

5.  Symptoms don’t provide reliable clue.
 Burning, gritiness, mild photophobia.
 Symptoms more in the morning.

6. collarettes Scarring of lid margin

7. Madarosis and
lid oedema
Mild papillary
conjunctivitis

8. Trichiasis and poliosis External hordeolum
Marginal keratitis Tearfilm instability

9. Greasy lid margin with
stiky lashes
Soft scales located
anywhere

10. Seborrhoea of scalp
(dandraff)
Seborrhoeic dermatitis

11. Capping of meibimian gland
orifice by oil globules
Expressed ‘toothpaste-like’
plagues

12. Froth formation and
oily tearfilm
Thickened posterior
lid margin

13. Condition
associated
with chronic
blepharitis
Tear flim
instability
and dry eye
Chalazion
formation
Acne
Rosacea
Acne vulgaris
Seborrhoeic
dermatitis
Bacterial
keratitis
Atopic
kerato-
conjunctivitis
Contact lens
intolerance

16.  Lifelong treatment is necessary.
 Permanent cure is unlikely.
 Control of symptom is possible.
 Eyelid margin hygiene is the basis
of treatment of blepharitis.

17. 1.Lid hygiene
2. Antibiotic
3. Weak topical steroid
4. Tear substitute

18. 1.Lid hygiene
2. Systemic tetracyclines
3. Antibiotic
4. Weak topical steroid
5. Tear substitute

20.  3 essential steps
 First, application of heat to warm
the eyelid gland secretions.
 Second, the eyelid margin is
washed mechanically to remove
adherent material.
- with 25% baby shampoo
 Third, an antibiotic ointment is
applied to the eyelid margin.

21.  Remove CL till symptoms resolve.
 Continue lid and face hygiene.
 Use anti-dandauff shampoo for scalp
seborrhoea
 Frequent hand washing.

22. Books and journals
 American Academy of Ophthalmology, External Disease and Cornea
,Section 8 (2011-2012), 12: 331-332
 Kanski Jack J, Clinical Ophthalmology- A systemic approach, 6th
Ed, Butterworth Heineman Elsevier. 4: 128-132
 Jackson Timothy L, Moorfield Mannual of Ophthalmology, Mosby
Elsevier, 4:137
 Daune’s Ophthalmology, Lippincot Williams and Wilkins, 2006
Edition, 7:532-33
Websites
 http://www.clspectrum.com/articleviewer.aspx?articleID=107286
retrieved on 1/3/2105
 http://en.wikipedia.org/wiki/blepharitis retrieved on 3/3/2105
 www.emedicine.medscape.com/ adult blepharitis retrieved on 3/3/2105
 www.researchmedicalcenter.com/ management of mgd/Id=12524 retrieved
on 3/3/2105
 www.google.com/imghp

24. 1. What are the types of blepharitis?
2. What is the difference between
anterior and posterior blepharitis?
3. How will you manage the case of
seborrhoeic blepharitis?
4. Which is the common bacteria that
causes anterior blepharitis?