Glaucoma & lid margin disease

I would be grateful for everyone’s opinions on this just to make sure I am not way off base.  So here is the case scenario: 93yr old lady with bilateral NTG, pseduophakic, a bit of dry AMD, moderate lid margin disease with associated ocular surface disease. VA – RE 6/15; LE 6/12+ CCT ~ 500 … Continue reading "Glaucoma & lid margin disease"

Pulsed oral azithromycin in mixed blepharitis – posology / regimen?

Just wondering what sort of intervals people use for this – though I realise it can be quite case specific. I’m currently favouring pulse duration 5 days  (2x250mg day 1, then 1x250mg for 4 days); if good response, repeat again in 3/52, then third repeat in 3/52 if resolution not satisfactory – so max 3 pulses … Continue reading "Pulsed oral azithromycin in mixed blepharitis – posology / regimen?"

Ivermectin for Demodex blepharitis

Just came across this view on youtube: and the Ophthalmologist refers to using Ivermectin cream for treating Demodex blepharitis. Quick search on emedicines compendium shows that this is now available in UK, but its intended use is for the treatment of pustules due to rosacea? Anybody know anything about Ivermectin or know any Ophthalmologists … Continue reading "Ivermectin for Demodex blepharitis"

Angular Blepharitis?

I have a patient who has a red, irritated outer canthus. The skin looks almost cracked on one side and on the other it has a slight mucous appearance. I have prescribed an antibiotic ointment, Polyfax which after 2 days is helping symptoms. But I’m wondering what other people may prescribe or other diff diagnoses … Continue reading "Angular Blepharitis?"