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Blepharitis - Management
When should I refer a person with blepharitis?

  • Refer for same-day ophthalmological assessment if there is sudden onset of visual loss or an eye becomes acutely painful and red.
  • Refer with urgency appropriate to the problem if there is:
    • Persistent localized disease or resistance to treatment or marked eyelid asymmetry (to exclude cancer of the eyelid margin).
    • Evidence of corneal disease (pain, blurred vision).
    • Deterioration of vision.
    • Uncertainty about the diagnosis.
    • Associated disease, such as Sjögren's syndrome or eyelid deformities.
    • Insufficient improvement despite maximal treatment available in primary care (for secondary care treatment, such as corticosteroids).

In depth

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