Utilisation of a Novel Test to Measure Severity and Treatment Efficacy of Posterior Blepharitis

Figure 3

(a) Lid scrubs (Part B of PBMP) of the right lower lid (RLL) using a Cb on the lid margin. (i) The patient’s lid and hand have been dried and degreased by wiping with a tissue prior to lid scrubbing. (ii) In this photograph, the patient is applying lid scrubbing to the medial 1/5 of the RLL for 3 seconds. (iii) Note that the lower lid is everted adequately enough to protect the cornea, allowing precise access to its horizontal margin. (v) Note also that the Cb is held at the optimal distance from its tip to optimise patient control of the Cb tip. (b) The “Gorilla Grip” used to evert the right upper lid (RUL) away from ocular surface. (i) Note that the patient is using the Gorilla Grip on the RUL by means of the nondominant hand and middle finger. (ii) The patient is carefully inspecting the RUL with the opposite eye. (iii) The lid margin is consistently kept at least 3 mm from the globe. (v) In this photograph, the patient is carrying out PBMP on the middle 20% of the RUL. Each of the theoretical five segments of each lid takes 3 seconds.

(a)

(b)