BLEPHARITIS

KEPANITRAAN KLINIK ILMU PENYAKIT MATA

RUMAH SAKIT PERTAMINA BINTANG AMIN
BANDAR LAMPUNG
2016

ANATOMY EYELID

DEFINITION

Blepharitis is inflammation or infection of

the eyelid margins

ETIOLOGY
There are 2 types of etiology blepharitis
based on where the anatomy :
a. Blepharitis anterior
is a bilateral chronic inflammation that is
common at the edge of the eyelid.

STAFILOKOK

seborrheic

b. Blepharitis posterior
is inflammation of the eyelid due to disfungsi
gland meibomian
Meibomianitis

CLASSIFICATION
1. Blepharitis Superfisial

2. Seborrheic Blepharitis

3. squamous blepharitis ( most often , associated

with seborrheic dermatitis )
4. Ulcerative blepharitis

5. blepharitis angularis

PATHOPHYSIOLOGY
Pathophysiology blepharitis usually occurs
bacterial colonization of the eye . This
resulted in the invasion of mycobacterial
directly on the network , an impaired
immune system or damage caused by the
production of bacterial toxins , waste
products and enzymes . Colonization of the
lid margin can be improved by the existence
of seborrheic dermatitis and meibomian
gland dysfunction .

CLINICAL SYMPTOMS

Itching on the edge of the eyelid

The heat on the edge of the eyelid
Red / hyperemia on the edge of the eyelid
Formed a hard scales and crusts especially
around the base eye bulla
Sometimes accompanied by loss of eyelashes
( madarosis ) , white eyelashes ( poliosis ) ,
and trichiasis
Can secretions dries out during sleep , so
that when you wake difficult eyelids open

1.
2.
3.
4.
5.

On physical examination usually found

The scales or crusts on the edge of the eyelid
The eyelashes fall out
Can be found shallow ulcers on the edge of the
eyelid
Can the swelling and redness of the eyelids
Can crusting firmly attached to the edge of the
eyelid . If the crust is removed, bleeding can
occur .

RISK FACTOR
Skin disorders such as seborrheic dermatitis
Personal hygiene and poor environmental

ENFORCEMENT DIAGNOSTICS
The diagnosis is based on clinical symptoms
and physical examination

MANAGEMENT
1. Non - Medical
a. Cleaning the eyelid with a cotton swab
soaked in warm water
b . Provide shampoo or soap
c . Warm compresses for 5-10 minute
2. Medikamentosa
If found ulcers on the eyelid , may be given
an antibiotic ointment or eye drops until the
symptoms disappear

COUNSELING AND EDUCATION

1. Provide information to patients and

families that the scalp , eyebrow, and eyelid
edge should always be cleaned , especially in
patients with seborrheic dermatitis
2. Inform the patient and the family to
maintain personal and environmental hygiene

Referral criteria Patients with blepharitis services

need to be referred to an ophthalmologist if there
is at least one of the following abnormalities :
1. Sharply declining eyesight
2. moderate or severe pain
3. Redness severe or chronic
4. There is a corneal involvement
5. Recurrent episodes
6. No response against allergies

PROGNOSIS

Ad Vitam : Bonam
Ad functionam : Bonam
Ad sanationam : Bonam