Clinical Presentation, Risk Factors and Outcomes of Demographic Analysis of Blepharitis in Adults Presenting at Multiple Healthcare Centres

  • Adeel Ahmad Siddique THQ Hospital, Kabirwala
  • Kamran Haider Shaheen DG Khan Teaching Hospital, DG Khan
  • Irum Raza Civil Hospital, Multan
  • Muhammad Awais Ashraf Ibn- e- Sina Hospital, Multan
  • Ghazi Khan Maree Liaqat University of Medical and Health Sciences, Jamshoro
  • Azfar Ahmed Mirza Liaqat University of Medical and Health Sciences, Jamshoro
  • Talha Alvi Riphah International Hospital, Islamabad
Keywords: Blepharitis, Diabetes, Epiphora, Poor Hygiene, Socioeconomic Status, Seborrheic Dermatitis.

Abstract

Objective: To identify symptoms, risk factors and outcomes of demographic analysis in adult patients with
blepharitis.
Study Design: Cross-sectional study.
Place and Duration: The study was conducted in the Department of Ophthalmology at THQ Hospital, Kabirwala from 8 January 2020 to 8 June 2020.
Materials and Methods: 100 patients were included in the study. Aged above 21 with symptoms of Blepharitis.
Fluorescein strips and Slit lamp 90 D techniques were used to evaluate the patients for the presence of visual
indications of blepharitis.
Results: Sixty-five females and thirty-five males were included in the study. The age group of 21-30 years had
the highest number of patients. Dry eyes, poor hygiene, low-socioeconomic factor and seborrhoea dermatitis
were significant risk factors. Most common symptoms included irritation, foreign body sensation, swelling over
eyelids, hyperaemia, Epiphora and photosensitivity.
Conclusion: Proper guidelines for protection and good hygiene should be provided to people. Dry eyes, poor
hygiene, low-socioeconomic factor, seborrhoea dermatitis, irritation, foreign body sensation, swelling over
eyelids, hyperaemia, Epiphora and photosensitivity are the most common symptoms and risk factors to find the
reason behind Blepharitis, in this study. Females, due to their hormonal changes, are more prone to having this
disease.

References

Putnam C. Diagnosis and management of blepharitis: an optometrist's perspective. Clinical Optometry. 2016; 8: 7- 78.

Katherine M. Mastrota. Blepharitis requires patient education. Optometry Times. 2021; 13: 4.

Michael A, lemp MD, Nichols KK. Blepharitis in the United States 2009: A Survey-based Perspective on Prevalence and Treatment. The Ocular Surface. 2009; 7: S1-S14.

Dias MR, Guaresch BL, Borges CR, Biazim DF, Casagrande D, Luz RA, et al. Blepharitis: epidemiology, etiology, clinical presentations, treatment and evolution of our patients. Rev Bras Oftalmol. 2019; 78: 300-3.

Nizar Din, NN Patel. Blepharitis — a review of diagnosis and management. Internation Journal of Opthalmic Practice. 2013; 3: 2052-1.

Hosseini K, Bourque LB, Hay RD. Development and evaluation of a measure of patient-reported symptoms of

Blepharitis. Health and Quality of Life Outcome. 2018; 16:11.

Hashemi H, Pakzad R, Heydarian S, Aghamirsalim M, Asadollahi M, Yekta A, et al. The prevalence of anterior

blepharitis in an elderly population of Iran; The Tehran geriatric eye study: Contact lens and anterior eye. 2021:

Arita R, Mizoguchi T, Kawashima M, Fukuoka S, Koh S, Shirakawa R, et al. Prevalence of and Risk Factors for

Meibomian Gland Dysfunction, Posterior Blepharitis, and Dry Eye Revealed by a Population-Based Study in Japan.

Investigative Opthomology and Visual Science. 2019; 60: 2739.

Amescua G, Akpek EK, Farid M, Garcia-Ferrer FJ, Lin A, Rhee MK, et al. Blepharitis preferred practice pattern. The American Academy of Ophthalmology. 2018; 0161-20.

Sami MS, Sorparkar NS, Patrinely JR, Tower RN. Eyelid Edema. Seminar in plastic surgery. 2007; 21: 24-31.

Skarbez K, Priestley Y, Hoepf M, Steven B. Comprehensive review of the effects of diabetes on ocular health: Expert Rev Ophthalmol. 2010; 5: 557.

Viswambaran VK, Anavadhya KA, Chandrababu G. Blepharitis: A Review on Human Clinical Trials with Synthetic and Natural Remedies. Biomedical and Pharmacology Journal. 2020.

Dovjak M, Kukec A. Identification of Health Risk Factors and Their Parameters. Creating Healthy and Sustainable Building. 2019; 88-120.

Musa AA, Nazeerullah R, Sarite SR. Bacterial profile and antimicrobial susceptibility pattern of anterior blepharitis in Misurata region, Libya. Dentistry and Medical Reseach. 2014; 2: 8-13.

Aldarrab A, Alrajeh M, Alsuhaibani AH. Meibography for eyes with posterior blepharitis. Saudi Journal of

Ophthalmology. 2017; 31: 131-4.

Borda LJ, Wikramanayake TC. Seborrheic Dermatitis and Dandruff: A Comprehensive Review. J Clin Investig

Dermatol. 2015; 3: 10.

Onhanseng N, Sueko M, Haleem S. Oral antibiotics for chronic blepharitis. Cochran database of systemic review. 2021.

Sung J, Wang MT, Lee SH, Cheung IM, Ismail S, Sherwin T, et al. Randomized double-masked trial of eyelid cleansing treatments for blepharitis. The Ocular Surface. 2018; 16: 77-83.

Bahoo MLA, Jamil AZ. Types of Ocular Surface Foreign Bodies and Their Correlation with Location in the Eye. Pak J Ophthalmol. 2018; 34: 1.

Ptel J, Levin A, Patel BC. Epiphora. Stat Pearls. 2020

Published
2021-09-28
Section
Original Article