An older adult patient reports burning and itching eyes. On assessment, the nurse notes swelling of the eyelid margins bilaterally. What additional data are necessary to confirm the nurse's sus-picion of blepharitis?
a. The patient reports visual disturbances such as rainbow halos.
b. The eyelids are reddened from seborrhea.
c. The patient is being treated with anticoa-gulants.
d. Small corneal hemorrhages are present.
B
Blepharitis is a chronic inflammation of the eyelid margins that is commonly found in older adults. It can be caused by seborrheic dermatitis or infection. The symptoms include red, swollen eyelids, matting and crusting along the base of the eyelash at the margins, small ulcerations along the lid margins, and complaints of irritation, itching, burning, tearing, and photophobia.
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