Zapalenie brzegów powiek – obraz kliniczny i nowe algorytmy postępowania stosowane w leczeniu
Blepharitis – Clinical Picture and New Treatment Algorithms
Aneta Hill-Bator, Marta Misiuk-Hojło
Katedra i Klinika Okulistyki Akademii Medycznej we Wrocławiu
Kierownik: dr hab. n. med., prof. ndzw. Marta Misiuk-Hojło
Summary: Blepharitis is one of more frequent ophthalmologic disease, occurs in 15-25% of population. The pathophysiology of blepharitis is a result of interaction of different factors including microbial organism infection, abnormal lid-margin secretion and tear film abnormalities. Blepharitis and meibomian gland disfunction are very often associated with various dermatological diseases, such as seborrheic dermatitis or acne rosacea. The aim of the article is to present symptoms, diversity of the disorder and new treatment algorithms. The most important factor for treatment success is an eyelid hygiene regimen, which should be followed for a long time. To reduce the bacterial load topical antibiotics use is necessary. Following the new treatment algorithms the most recommended agent is azithromycin, which has both anti-infective and anti-inflammatory properties and has high affinity to penetrate into tissue. Systemic antibiotics may be additional appropriate in patients with posterior blepharitis. Aqueous tear deficiency is frequent in patients suffering from blepharitis, so the important part of treatment is dry eye management with preservatives-free moisturizing eye-drops, gels or moisture goggles and nutritional supplements with omega-3 fatty acids.
Słowa kluczowe: zapalenie brzegów powiek, algorytmy postepowania, azytromycyna.
Keywords: blepharitis, treatment algorithm, azithromycin.