This patient presented worsening burning and foreign body sensation (FBS). Why?
Analysis
Here for the most part the eye is relatively healthy looking. The light reflex is sharp, and there is no evidence of a ciliary flush. There is, however, mild conjunctival injection (bulbar) and mild injection at the posterior portion of the lid margin.
This patient has posterior blepharitis.
In this 13-minute video featuring Dr. Christopher Rapuano, Director of Cornea Service at Wills Eye Hospital and professor at Jefferson Medical College in Philadelphia, we'll review:
- The differential diagnosis of a patient presenting with mild burning and foreign body sensation
- Anterior versus posterior blepharitis
- The management of blepharitis
Clinical Tip
In a patient who presents with ocular irritation and foreign body sensation who has little in the way of clinical signs, always consider posterior blepharitis.
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