dog eyelid inflammation info from a dermatologist · pdf fileinfo from a dermatologist!. ......
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Dog Eyelid Inflammation �Info from a Dermatologist!
. www.csspets.com
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Blepharitis!
• Inflammation of the eyelid (skin, muscle, connective tissue, glands)
• Usually also includes redness of conjunctiva!
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Blepharitis-Eyelid inflammation �How it happens!
• Conjunctiva rich in mast cells & vessels
• Bacterial lipases: 1. Alter meibomian lipids which plug the glands 2. Produce irritating fatty acids 3. Destabilize tear film
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Blepharitis-Eyelid inflammation �What you see in your dog!!
• Eye discharge: clear, mucoid, or mucous with pus
• Excess blinking • Itch, rubbing the eyes • Hair loss • Crust, scale • Eyelid redness, swelling, thickening • Loss of pigment along skin or hair
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Blepharitis-Eyelid inflammation �What you see in your dog!
! !!Swollen, cream colored meibomian glands with prominent openings
" Papules and pustules
" Single or multiple red nodules along eyelids
" Concurrent redness of conjunctiva or keratitis (corneal inflammation)!
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Blepharitis- Eyelid Inflammation!!Congenital: “Born that way”!
! !!Entropion (Eyelid rolling inward)
! Congenital eyelid abnormalities!
! !!Trichiasis!"!hair%growing%in%wrong%direc-on! !!!(nasal fold hair growing in direction of eye)!!
! !!Distichiae!–!eyelashes%or%hair%growing%inward%&%touching%eyeball,%causing%irrita-on%and%pain%or%itch!
! !!Lagophthalmos!–!eyelid%doesn’t%close%properly,%leads%to%“Dry%eye”%
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Blepharitis-Eyelid Inflammation �Cancer!
! Canine:!!!!! - Adenomas - Adenocarcinomas - Melanomas - Cutaneous lymphoma - Histiocytomas - Basal cell tumors - Mast cell tumor!
!
" Cats:!! !! - Squamous cell
carcinoma - Mast cell tumor - Basal cell tumors - Fibrosarcomas - Apocrine hydrocyctomas!
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Blepharitis-Eyelid inflammation �Cancer, Tumors
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Blepharitis-Eyelid inflammation �Other Causes!
! !Trauma; itch, irritating chemicals, cuts, foreign bodies (grass awns, cat claws!), etc.
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Blepharitis-Eyelid inflammation �Other Causes
! Zinc Responsive Dermatosis
! Dermatomyositis!
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Many types of auto-immune diseases can affect eyelids…
Blepharitis-Eyelid Inflammation Autoimmune Skin Disease
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Juvenile cellulitis aka “Puppy Strangles”!
Blepharitis-Eyelid Inflammation Autoimmune Skin Disease
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Blepharitis-Eyelid Inflammation �Autoimmune)Skin)Disease)
! Erythema multiforme ! Drug rxn!
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Blepharitis-Eyelid Inflammation
Metabolic Skin Disease • Hepatocutaneous
syndrome (skin disease linked to liver disease)
• AKA- Necrolytic Migratory Erythema (NME)
• AKA- Superficial Necrolytic dermatitis (SND)
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Blepharitis-Eyelid Inflammation �Miscellaneous causes!
Demodex mites invade eyelid glands – causes granulomatous blepharitis
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Blepharitis-Eyelid Inflammation �Miscellaneous causes!
• Herpes Virus: FHV-1 in cats
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Blepharitis-Eyelid Inflammation �Miscellaneous causes!
• Fungi! Ringworm (Tinea, Dermatophyte), aspergillus, other
!
Blastomycosis!
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Blepharitis-Eyelid Inflammation �Miscellaneous causes
!
! “Dry eye” – irritation due to lack of tears/moisture
! Eye drops: can cause contact irritant/allergy
! - often contain neomycin but other topical eye drops can cause allergic reaction or irritation!
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Blepharitis- Eye Inflammation Tests performed!
# Schirmer tear test (measures tear production)
# Fluorescein stain (checks for ulcer of cornea)
# Conjunctival swab to look for herpes virus
# Topical anesthetic for evaluation of foreign body (typically one eye only)
# Biopsy if concerned about tumor or cancer
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Blepharitis-Eyelid Inflammation �Due to allergies
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Blepharitis-Eyelid Inflammation �Due to allergies with Staph infection
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Blepharitis-Eyelid Inflammation �Treatment!
• Eye!wash!with!commercial!eye!wash!product!such!as!Lid!&!Lash!
• Topical!eye!medicine"!an9bacterial!&/or!an9"inflammatory!ointment!(products!labeled!for!use!in!the!eye!ONLY)!
• Elizabethan!collar!(“Lampshade”!to!protect!dog!or!cat!from!trauma9zing!the!eyes!
• Iden9fy!and!treat!the!underlying!cause!to!prevent!recurrence!