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Blepharitis - It Is Not A Focal Dermatitis
D. Maggs
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INTRODUCTORY PHILOSOPHY
External ocular disease (i.e., pathology involving the eyelids, cornea, or conjunctiva in any combination) is now an area of subspecialty within physician ophthalmology due to the close anatomical and physiological relationships between these 3 tissues, and the frequency with which such patients present. It is also advantageous to consider these tissues jointly since primary disease in any one of them frequently leads to secondary involvement of one or both of the other 2 tissues. And of course, blepharitis may simply be an ophthalmically notable sign in a patient with generalized dermatitis. Therefore a complete discussion of blepharitis and periocular dermatitis should include all causes of generalized dermatitis, as well as the specific causes of primary blepharitis, conjunctivitis, and keratitis. Clearly this goes beyond the scope of our single session today (let alone beyond the speaker’s expertise!). Instead, I will aim to present an ophthalmologist’s view of the eyelids and periocular skin focusing especially on those diseases where skin elsewhere on the body is uninvolved; and noting potential causes, my diagnostic approach, and some broad therapeutic options. Underpinning this is an understanding of what makes eyelids and blepharitis different from skin and dermatitis elsewhere. ...
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Affiliation of the authors at the time of publication
University of California Davis United States
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