| Acute or Chronic
staphylococcal blepharitis is usually caused by
Staphylococus aureus, but it can also be caused by
coagulase-negative staphylococci, and occasionally other
bacteria. These bacteria infect the lid margin, the lash
bases and follicles, and the associated glands. The resultant lid inflammation causes burning, foreign-body sensation, redness and mattering of the lashes. Examinatin reveals lid margin erythema and ulceration, fibrin, collarettes, and crusts at the base of the lashes. The condition can also be associated with recurrent hordeola conjunctivitis, and marginal corneal infiltrates. A coarse punctate epitheliopathy can involve the inferior third of the cornea. In cases of long-standing disease, the thickend and scarred lids can produce contour abnormalities as well as lost or misdirected lashes. Treatment of staphylococcal blepharitis is directed at eradicating the offending organism. Intensive lid hygiene can be effective. Hot soaks increase local vasuclar flow and help to loosen the attached debris. Lid scrubs with a dilute non-irritating shampoo remove the irritating scales and debris and eliminate some bacteria. A bactericidal antibiotic ointment applied to the lid margins can further decrease the bacterial population. In patients with symptomatic keratoconjunctivitis, limited and closely monitored use of topical cortiosteroids may be necessary in the initial treatment of the disease.
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Meibomian Gland Dysfunction | Staphylococcal Blepharitis | Angular Blepharitis | Hordeolum | Chalazion | Molluscum Contagiosum | Viral Papilloma | Seborrheic Keratosis | Xanthelasma | Basal Cell Carcinoma | Squamous Cell Carcinoma | Sturge-Weber Syndrome | Capillary Hemangioma | Allergic Contact Dermatitis
Eye Lid | Lacrimal System Disorders | Scleral Disease