A care aide at a long-term care facility has informed a resident physician that an 80-year-old woman's eyes appear to be inflamed and that her eyelids are caked with sticky secretions
The woman has been subsequently diagnosed with posterior blepharitis. Which of the following treatments is the physician likely to initiate?
A)
Surgical repair of the woman's blocked meibomian glands
B)
Warm compresses to be applied regularly to her eyes in addition to oral antibiotics
C)
Regularly scheduled cleansing of the woman's eyes with normal saline
D)
Intravenous steroids coupled with topical antibiotic ointment
Ans:B
Feedback:
Treatment of posterior blepharitis is determined by associated conjunctival and corneal changes. Initial therapies can include warm compressing of the lids and use of flaxseed or fish oil tablets to provide omega-3 fatty acid benefits to meibomian oil secretions. Long-term, low-dose systemic antibiotic therapy guided by results of bacterial cultures along with short-term topical steroids may also be needed.
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