I have scope coming to demonstrate the Blephex instrument for the treatment of blepharitis in two weeks. I wonder if anyone here has used this ? Have found it useful ? Or have any tips?
Seems like Doxycyline has been superseded! The British Journal of Ophthalmology Oral Azithromycin Versus Doxycycline in Meibomian Gland Dysfunction: A Randomised Double Masked Open Label Clinical Trial Br J Ophthalmol 2014 Aug 19;[EPub Ahead of Print], MB Kashkouli, AJ Fazel, V Kiavash, M Nojomi, L Ghiasian
Saturday at noon (we close at 12.30!) 54 yo lady walks in with obviously disfigured left eye. Sx – 24 history of sore, swollen left eye. finds it difficult to open eye. Pain is constant (severity 7/10) but intensifies on upgaze or when presses on eye. Feeling well – no flu-like Sx or fever. GH … Continue reading "Infected chalazion / pre-septal cellulitis"
A cousin of mine shows me his 5 year old kids eyelid lump present now for 3/12. The story goes like this… The couple saw nurse practitioner who gave drops (type unknown and was given within the first 2/52 of presentation, presumably chloramphenicol) and advised warm compresses. Seems sensible enough… Parent saw that there was … Continue reading "Lower lid Infection – Child of 5"
Hi All Just after some advice, where can I buy the syringing kits from?
Just saw a patient who I’ve seen a few times over the years – blepharitis pretty under control with diligent lid hygiene but last year I wrote ?demodex in his records. Decided to have a good go today and I caught one! Got a good look at it through my slitlamp but couldn’t get a … Continue reading "What are you doing for demodex?"
I have a 42 year old with moderate rosacea. I have treated her with the usual hot compress & lid hygiene plus a 12week course of tetracycline. Her symptoms are much better but she still has significant blepharitis and and area of incipient marginal keratitis in the left eye. I was considering a short dose … Continue reading "Weak topical steriod with ocular rosacea"
I depressing case today in A&E. 6 y/o girl presented with 3 week history of itchy eyes. Tx with chloramphenicol and fucithalmic by GP no help. Pubic lice seen on the eyelashes of both eyes. The lice were removed and sent to a lab for confirmation of Dx and the many eggs removed as well … Continue reading "Public lice"
Elderly lady (94y0) presents with an angry lower lid hordeolum pointing anteriorly and looking like a large pus filled zit. Too tender to compress. I opted for systemic antibiotics from GP but NHS CKS evidence says little evidence for orals in hordeolum. Thoughts please.
Has anyone prescribed Doxycycline 100mg to prevent recurrence of chalazion? If yes then how long and dose? I haven’t yet prescribed oral doxycycline but I have a patient with recurrent of chalazion and I am considering it. He has moderate bilateral MGD. He has had one removed surgically but not keen on further surgical intervention.