ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesView all Images (10)
Meibomitis - External and Internal Eye
Print
Other Resources UpToDate PubMed

Meibomitis - External and Internal Eye

Print Images (10)
Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

Along the margin of the eyelids, there are the openings of a series of sebaceous glands known as the meibomian glands. It is the dysfunction and inflammation of these glands that constitutes meibomitis. In this condition, the normal oily secretion from these glands becomes thicker and there is less of it. As the normal character of this oily secretion is needed to prevent evaporation of the tear film, meibomitis results in increased tear evaporation and, hence, symptoms of dryness, burning, and irritation. These patients will also complain of grittiness, blurred vision, frequent styes, red eyes, watery eyes, and swollen/red eyelid margins. Over time, chronic meibomian gland dysfunction leads to thickening and blunting of the lid margin, chronic chalazia, superficial punctate keratitis, corneal neovascularization, and scar.

Codes

ICD10CM:
H00.029 – Hordeolum internum unspecified eye, unspecified eyelid

SNOMEDCT:
309779001 – Meibomitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Although the diagnosis of meibomian gland dysfunction is made clinically, a suspect malignant lesion will require biopsy to be sure. Patients with recurrent chalazia or dry eye issues should be suspected of having an underlying meibomian gland dysfunction.

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Updated: 01/17/2010
Copyright © 2019 VisualDx®. All rights reserved.
Meibomitis - External and Internal Eye
Print 10 Images
View all Images (10)
(with subscription)
Meibomitis : Eye irritation, Palpebral conjunctival injection, Excessive tearing, Ocular pruritus
Clinical image of Meibomitis
Copyright © 2019 VisualDx®. All rights reserved.