Ophthalmology Series: Case 5

ANSWERS WILL BE POSTED IN REPLY BOX AT 18:00 CET
A 53 year old male complains of tired, itchy and sore eyes. He affirms that these symptoms are worse in the morning. He also noted crusting over his eyelashes.

Slit lamp examination reveals

  1. What is the most likely diagnosis ?
  2. Which three dermatological conditions are often associated with this condition ?
  3. Which organism is typically found to be present in bacterial culture ?
    (Refer to clinical picture below)
  4. How would you manage this patient ?
  5. Outline the prognosis of this condition. 

Image result for staphylococcal blepharitis

Source: https://www.ncbi.nlm.nih.gov/pubmed/27815679

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3 thoughts on “Ophthalmology Series: Case 5

  1. Blepharitis
    Rocasea acne
    Staphylococcus epidermidus
    Eyelid hygiene. Tobical combination of antibiotic and steroid with lubricant eyedrop . Ans systemic antibiotics like doxycycline or azithromycine in severe cases
    Prognosis . It is chronic and recurrent . no cure

    Liked by 1 person

  2. ANSWERS
    1. Anterior Blepharitis
    2. Sebhorrhoeic dermatitis, atopic eczema and acne rosacea.
    3. Staphylococcus aureus
    4. Treatment is long-term for chronic conditions. For anterior blepharitis, lid toilet to remove squamous debris from the eye lash line. If this fails, use a combination of topical steroids and antibiotics such as azithromycin or short courses of tetracycline. Artificial tears can also be of benefit in severe presentations.
    5. Blepharitis remains a chronic problem, although symptoms can be controlled.

    Like

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