ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN BỆNH NHÂN VIÊM BỜ MI DO DEMODEX TẠI BỆNH VIỆN ĐẠI HỌC KỸ THUẬT Y TẾ HẢI DƯƠNG NĂM 2024

Abstract

Background: Bleapharitis is a common chronic eyelid inflammation that tends to recur and may cause complications if not diagnosed and treated in time. Recognition of Demodex mites as a potential causative factor has gained increasing attention in recent years. Objective:The study aims to describe the clinic characteristics and contributing factors in patients diagnosed with Demodex blepharitis at Hai Duong Medical Technical University Hospital in 2024. Subjects and Methods: A cross-sectional descriptive study was conducted on 31 patients diagnosed with Demodex blepharitis from October to December, 2024. The diagnosis was confirmed by microscopic examination of epilated eyelashes. Results: The majority of patients were over 60 years old (61.3%), female (female-to-male ratio ≈ 2.8:1), and lived in urban areas (87.1%). More than half reported frequent exposure to environmental pollutants (51.6%). The most commonly reported symptoms included eyelid itching (91.1%), foreign-body sensation (86.7%), scaly debris (71.1%), and Meibomian gland dysfunction (54.8%). Visual acuity was preserved in most cases (61.3%). Mild Demodex blepharities accounted for 80.6% of cases and was significant associated in eyelash abnormalities,  no correlation observerd with demographic or other clinical features. Conclusion: Demodex blepharitis predominantly affects elderly females living in urban areas and is typicially mild severity. Common clinical features include itching, foreign-body sensation, scaly debris, and Meibomian gland dysfunction.