Page 156 - 2021 IDMT Digital
P. 156
BLEPHARITIS
Introduction:
• $ FRPPRQ FKURQLF DQG XVXDOO\ ELODWHUDO LQIODPPDWRU\ SUREOHP RI WKH H\HOLGV ZKLFK FDQ
EH DWWULEXWHG WR HLWKHU EDFWHULDO LQIHFWLRQ FRPPRQO\ VWDSK RU WR VHERUUKHLF GHUPDWLWLV
o $QWHULRU LQYROYHV H\HOLG VNLQ DQG JODQGV RI H\HOLG
o 3RVWHULRU LQYROYHV WKH PHLERPLDQ JODQGV DW H\HOLG PDUJLQ
o $QJXODU LQYROYHV H\HOLG PDUJLQ QHDU WKH ODWHUDO FDQWKXV
• 5RVDFHD LV FRPPRQO\ LPSOLFDWHG DVVRFLDWHG GLVRUGHU LQ ROGHU SDWLHQWV ZLWK EOHSKDULWLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o ,UULWDWLRQ EXUQLQJ DQG LWFKLQJ RI WKH OLGV DQG PDUJLQV ZLWK $0 FUXVWLQJ
o 0LQRU SDLQ IRUHLJQ ERG\ VHQVDWLRQ
o +LVWRU\ RI VHERUUKHLF GHUPDWLWLV
o +LVWRU\ RI IUHTXHQW FRQMXQFWLYDO LQIHFWLRQV PD\ EH FOXH WR GLDJQRVLV
o +LVWRU\ RI H\HOLG RU ODVK SUREOHPV HQWURSLRQ RU WULFKLDVLV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH YLWDOV LQFOXGLQJ H\H FKDUW
o 3(55/$
o ([WUD RFXODU PRWLRQ ZLWKRXW SDLQ
o 3KRWRSKRELD ZLOO QRW EH SUHVHQW
o 7HDULQJ
o (U\WKHPD ZLWK PLOG IRFDO VZHOOLQJ LQ XSSHU RU ORZHU OLG
o 6FDOLQJ PD\ EH QRWHG LQ ODVKHV
o $EQRUPDO OLG SRVLWLRQ
(QWURSLRQ YV HFWURSLRQ
Assessment:
• 'LIIHUHQWLDO
o 6HERUUKHLF GHUPDWLWLV JHQHUDOO\ DIIHFWV WKH HDUV DQG VFDOS
o $OOHUJLF FRQMXQFWLYLWLV FOHDU VWULQJ\ GLVFKDUJH IURP H\HV ZLWK DVVRFLDWHG UHGQHVV
RI WKH VFOHUD
o %DFWHULDO FRQMXQFWLYLWLV FRSLRXV SXUXOHQW GLVFKDUJH IURP H\HV ZLWK FUXVWLQJ
o (F]HPD KLVWRU\ RI DOOHUJLHV LQYROYHPHQW RI RWKHU VXUIDFHV RQ ERG\
Plan:
• 7UHDWPHQW
o 8VXDOO\ FRQWUROOHG E\ FOHDQOLQHVV RI OLG PDUJLQV OLG K\JLHQH
o /LG VFUXEV WZLFH GDLO\ ZLWK ZDUP ZDVKFORWK DQG EDE\ VKDPSRR
o 8VH HU\WKURP\FLQ RSKWKDOPLF RLQWPHQW RQFH DW QLJKW IRU PRGHUDWH V\PSWRPV RU LI
EDFWHULDO VRXUFH LV VXVSHFWHG
o 'R[\F\FOLQH PJ RQFH GDLO\ IRU ZHHNV LI XQUHVSRQVLYH WR OLG K\JLHQH FDUH
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