From the Virginia Eye Consultants, Norfolk, Virginia (Yeu); Gavin Herbert Eye Institute, University of California, Irvine, Irvine, California (Garg, Farid); Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania (Ayres); Comprehensive EyeCare of Central Ohio, Westerville, Ohio (Beckman); Casey Eye Institute, Oregon Health & Science University, Portland, Oregon (Chamberlain); Eye Consultants of Atlanta and Georgia Eye Bank, Atlanta, Georgia (Lee); New York University, Langone, New York, New York (Raju); Ophthalmic Consultants of Boston and Tufts University School of Medicine, Boston, Massachusetts (Rao); Medical University of South Carolina, Storm Eye Institute, Charleston, South Carolina (Rocha, Zavodni); Department of Ophthalmology and Francis I Proctor Foundation, University of California, San Francisco, San Francisco, California (Schallhorn); The Eye Institute of Utah, Salt Lake City, Utah (Zavodni); Scripps Clinic, La Jolla, California (Mah); .
J Cataract Refract Surg. 2024 Aug 1;50(8):868-875. doi: 10.1097/j.jcrs.0000000000001483.
The eyelid margin is vital to ocular surface integrity. Much peer-reviewed literature has been established in eyelid margin inflammation, better known as blepharitis. The purpose was to review and understand the impact of eyelid margin disease. Anterior blepharitis causes inflammation at the eyelash base, ciliary follicles, and the palpebral skin. Posterior blepharitis occurs when there is inflammation with the posterior eyelid margin disease. In common usage, the term "blepharitis" used alone almost always refers to anterior blepharitis. Classification of eyelid margin disease should be based on etiopathogenesis, location, primary vs secondary, and chronicity. Blepharitis has several etiopathologies (infectious, inflammatory, and squamous). Meibomian gland dysfunction (MGD) can refer to the functional and/or structural problems with the meibomian gland. Meibomitis (or meibomianitis) occurs when there is inflammation associated with the MGD. The presence of blepharitis and/or MGD (with or without inflammation) can affect the ocular surface and thereby affect anterior segment and cataract surgeries. This review article evaluates the differential diagnoses of eyelid margin disease, including various forms of blepharitis, MGD, and meibomitis.
眼睑边缘对于眼表面的完整性至关重要。大量的同行评审文献已经确立了眼睑边缘炎症，即众所周知的睑缘炎。目的是回顾和理解眼睑边缘疾病的影响。前睑缘炎导致睫毛根部、睫状滤泡和眼睑皮肤的炎症。当后眼睑边缘疾病发生炎症时，就会发生后睑缘炎。在常见用法中，单独使用的术语“睑缘炎”几乎总是指前睑缘炎。眼睑边缘疾病的分类应基于病因、位置、原发性与继发性以及慢性程度。睑缘炎有几种病因（感染性、炎症性和鳞状）。睑板腺功能障碍（MGD）可指睑板腺的功能和/或结构问题。当 MGD 伴发炎症时，就会发生睑板炎（或睑板腺炎）。睑缘炎和/或 MGD（有或没有炎症）的存在会影响眼表面，从而影响眼前节和白内障手术。本文综述了眼睑边缘疾病的鉴别诊断，包括各种形式的睑缘炎、MGD 和睑板腺炎。
