Diagnosis and management of blepharitis: an optometrist's perspective

Clinical Optometry
Christopher M Putnam

Abstract

Blepharitis is a condition characterized by inflammation of the eyelid margin and is a common cause of discomfort and irritation among people of all ages, ethnicity, and sex. In general, blepharitis is not a sight-threatening condition, but if left untreated has the potential to cause keratopathy, corneal neovascularization and ulceration, and permanent alterations in eyelid morphology. Historically, blepharitis has been categorized according to multiple structural classifications, including anatomic location, duration, and etiology. The substantial overlap of symptoms and signs from the differing structural classifications has led to initial misdiagnoses, clinical underreporting, and variability in treatment of blepharitis. The multifactorial nature is still not fully appreciated but infection and inflammation have been identified as the primary contributors. Ongoing clinical research continues the pursuit for a treatment panacea; however, long-term management of the underlying causes of blepharitis remains the best clinical approach. Here, we will attempt to review the existing literature as it pertains to clinical management of blepharitis and address a stepwise approach to diagnosis, treatment, and management.

Citations

Feb 8, 2021·Experimental Eye Research·Konduri RanjithSisinthy Shivaji
Apr 25, 2020·Microbial Pathogenesis·KrishnanNair Geetha Deepthi, Solai Ramatchandirane Prabagaran
Mar 9, 2021·Ocular Immunology and Inflammation·Samuel KyeiMadison Adanusa
Feb 28, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Hassan HashemiMehdi Khabazkhoob
Aug 2, 2021·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Roberto González SalinasHugo Quiroz-Mercado

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