The Association Between Blepharitis and Lower Eyelid Ectropion in a Large Cohort of Patients
Author: Daphna Landau
Base Hospital / Institution: Sheba Medical Center
ePoster presentation
Abstract ID: 24-149
Purpose
Blepharitis and eyelid ectropion are prevalent ocular conditions, with 37%-46% and 2-3% prevalences respectively. Blepharitis involves eyelid inflammation, subdivided into anterior and posterior types, with multifactorial origins. Ectropion results in ocular surface exposure, epiphora and chronic conjunctivitis. This study aims to investigate the possible association between both conditions.
Methods
Medical records of 37,692 consecutive patients examined at a single medical screening center between 2001-2020 were retrospectively analyzed. Main outcome measures were prevalence of lower eyelid ectropion and blepharitis, possible association and relation to age and gender.
Results
A total of 35,670 patients were included. Ectropion was observed in 69 patients (0.2%), and blepharitis in 4725 patients (13.2%). The male gender was more prevalent in patients with both entities (88.4% ectropion, and 85% blepharitis, P<0.001). Older age was associated with both diagnoses (77.3 vs. 52.2 years for ectropion and 60.5 vs 50.9 years for blepharitis, P<0.001). The prevalence of ectropion was higher in blepharitis patients (0.8% vs. 0.1%, P<0.001).
Conclusion
Ectropion was significantly more prevalent in patients with blepharitis. Both conditions were associated with older age and male gender. This can aid in decision making of early surgical intervention of lower eyelid ectropion or medical treatment of blepharitis.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Lital | Smadar | Sheba Medical Center |
| Noa | Kapelushnik | Sheba Medical Center |
| Guy J. | Ben-Simon | Sheba Medical Center |
| Shlomo | Segev | Sheba Medical Center |
| Shahar | Soudry | Timna, Ministry of Health, Israel |
| Amir | Abd-Elkader | Rabin Medical Center |
