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OCULAR DISEASE RNH > 15.2 KHURANA INFLAMMATORY DISORDERS OF EYELIDS > Flashcards

15.2 KHURANA INFLAMMATORY DISORDERS OF EYELIDS Flashcards

1
Q

is a subacute or chronic inflammation of the lid margins

  • BLEPHARITIS
  • EXTERNAL HORDEOLUM (STYE)
A

Blepharitis

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2
Q

is a chronic infection of the anterior part of the lid margin. It is a common cause of ocular discomfort and irritation. The disorder usually starts in childhood and may continue throughout life.

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Bacterial blepharitis

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3
Q

also known as chronic anterior blepharitis

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Bacterial blepharitis

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4
Q

also known as staphylococcal blepharitis

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Bacterial blepharitis

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5
Q

also known as ulcerative blepharitis

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Bacterial blepharitis

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6
Q

is primarily anterior blepharitis with some spill over posteriorly. It is of common occurrence.

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Seborrhoeic blepharitis

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7
Q

inflammation of Meibomian glands occurs in chronic and acute forms.

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Posterior blepharitis or meibomitis

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8
Q

associated with infestation of lashes by lice is not uncommon in persons living in poor hygienic conditions.

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Parasitic blepharitis

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9
Q

Symptoms include chronic irritation, itching, mild lacrimation, gluing of cilia, and mild photophobia. The symptoms are characteristically worse in the morning. Remissions and exacerbations in symptoms are quite common.

  • Bacterial blepharitis
  • Seborrhoeic or squamous blepharitis
  • Mixed staphylococcal with seborrhoeic blepharitis
  • Posterior blepharitis or meibomitis
  • Parasitic blepharitis
A

Bacterial blepharitis

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10
Q

are seen at the root of cilia which glue them together

  • Yellow crusts
  • Small ulcers
  • Red, thickened lid margins
A

Yellow crusts

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11
Q

which bleed easily, are seen on removing the crusts

  • Yellow crusts
  • Small ulcers
  • Red, thickened lid margins
A

Small ulcers

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12
Q

are seen with dilated blood vessels (rosettes)

  • Yellow crusts
  • Small ulcers
  • Red, thickened lid margins
A

Red, thickened lid margins

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13
Q

sparseness or absence of cilia

  • madarosis
  • trichiasis
  • poliosis
A

madarosis

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14
Q

misdirected cilia

  • madarosis
  • trichiasis
  • poliosis
A

trichiasis

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15
Q

graying of lashes

  • madarosis
  • trichiasis
  • poliosis
A

poliosis

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16
Q

thickening and scarring of lid margin

  • Tylosis
  • Eversion of punctum
  • Eczema of skin and ectropion
A

Tylosis

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17
Q

leading to epiphora

  • Tylosis
  • Eversion of punctum
  • Eczema of skin and ectropion
A

Eversion of punctum

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18
Q

may develop due to prolonged watering

  • Tylosis
  • Eversion of punctum
  • Eczema of skin and ectropion
A

Eczema of skin and ectropion

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19
Q

also known as external hordeola

  • Styes
  • Marginal keratitis
  • Tear film instability
A

styes

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20
Q

type IV hypersensitivity response to tuberculous antigen9 and is an uncommon presentation of TB in the eye

  • phlyctenulosis
    • ADD CHOICES
A

phlyctenulosis

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21
Q

Lid hygiene is essential at least _____ daily

  • 1x
  • 2x
  • 3x
A

2x

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22
Q

to soften the crusts

  • Warm compresses for 5–10 minutes
  • Crust removal and lid margin cleaning
A

Warm compresses for 5–10 minutes

23
Q

with the help of cotton buds dipped in the dilute baby shampoo or solution of 3% sodium bicarbonate

  • Warm compresses for 5–10 minutes
  • Crust removal and lid margin cleaning
A

Crust removal and lid margin cleaning

24
Q

should be applied at the lid margin, immediately after removal of the crusts

  • Eye ointment
  • Antibiotic eye drops
  • Oral antibiotics
A

Eye ointment

25
should be used 3–4 times a day * Eye ointment * Antibiotic eye drops * Oral antibiotics
Antibiotic eye drops
26
such as erythromycin or doxycycline may be useful in unresponsive patients and those complicated by external hordeola and abscess of lash follicle. * Eye ointment * Antibiotic eye drops * Oral antibiotics
Oral antibiotics
27
such as fluoromethalon may be required in patients with papillary conjunctivitis, marginal keratitis and phlyctenulosis * Topial steroids (weak) * Ocular lubricants
Topial steroids (weak)
28
artificial tear drops, are required for associated tear film instability and dry eye * Topial steroids (weak) * Ocular lubricants
Ocular lubricants
29
It is usually associated with seborrhoea of scalp (dandruff). Some constitutional and metabolic factors play a part in its etiology. * Bacterial blepharitis * Seborrhoeic or squamous blepharitis * Mixed staphylococcal with seborrhoeic blepharitis * Posterior blepharitis or meibomitis * Parasitic blepharitis
Seborrhoeic or squamous blepharitis
30
In it, glands of Zeis secrete abnormal excessive neutral lipids which are split by Corynebacterium acne into irritating free fatty acids. * Bacterial blepharitis * Seborrhoeic or squamous blepharitis * Mixed staphylococcal with seborrhoeic blepharitis * Posterior blepharitis or meibomitis * Parasitic blepharitis
Seborrhoeic or squamous blepharitis
31
Patients usually complain of deposition of whitish material (soft scales) at the lid margin associated with mild discomfort, irritation, occasional watering and a history of falling of eyelashes. * Bacterial blepharitis * Seborrhoeic or squamous blepharitis * Mixed staphylococcal with seborrhoeic blepharitis * Posterior blepharitis or meibomitis * Parasitic blepharitis
Seborrhoeic or squamous blepharitis
32
is seen on the lid margin, among the lashes. Underlying surface is found to be hyperaemic and greasy (no ulcers). * Accumulation of white dandruff-like scales * The lashes fall out easily
Accumulation of white dandruff-like scales
33
but are usually replaced quickly without distortion. * Accumulation of white dandruff-like scales * The lashes fall out easily
The lashes fall out easily
34
thickened and the sharp posterior border tends to be rounded leading to epiphora, in long standing cases. * Lid margin * Signs of bacterial blepharitis
Lid margin
35
may be superadded in patients with mixed seborrhoeic and bacterial blepharitis. * Lid margin * Signs of bacterial blepharitis
Signs of bacterial blepharitis
36
Posterior Blepharitis is also known as ____
meibomitis
37
commonly occurring meibomian gland dysfunction, seen more commonly in middle aged persons, * Chronic meibomitis * Acute meibomitis
Chronic meibomitis
38
occurs due to staphylococcal infection. * Chronic meibomitis * Acute meibomitis
Acute meibomitis
39
with acne rosacea and/or seborrhoeic dermatitis. * Chronic meibomitis * Acute meibomitis
Chronic meibomitis
40
It is characterized by painful swelling around the involved gland. * Chronic meibomitis * Acute meibomitis
Acute meibomitis
41
Pressure on it results in expression of pus bead followed by serosanguinous discharge. * Chronic meibomitis * Acute meibomitis
Acute meibomitis
42
Bacterial lipases are being blamed to play main role in the pathogenesis of __________- * Chronic meibomitis * Acute meibomitis
Chronic meibomitis
43
form of eye ointment should be rubbed at the lid margin immediately after massage, and * Topical antibiotics * Systemic tetracyclines
Topical antibiotics
44
remain the mainstay of treatment of posterior blepharitis because of their ability to block staphylococcal lipase production. * Topical antibiotics * Systemic tetracyclines
Systemic tetracyclines
45
artificial tear drops are required for associated tear film instability and dry eye disease * Ocular lubricants * Topical steroids(weak)
Ocular lubricants
46
such as fluoromethalon may be required in patients with papillary conjunctivitis * Ocular lubricants * Topical steroids(weak)
Topical steroids (weak)
47
refers to the infestation by phthirus pubis (crab louse). * Phthiriasis palpebrum * Pediculosis
Phthiriasis palpebrum
48
It is most commonly seen in adults in whom it is usually acquired as a sexually transmitted infection * Phthiriasis palpebrum * Pediculosis
Phthiriasis palpebrum
49
refers to the infestation by pediculus humanus corporis or capitis (head louse). If heavily infested the lice may spread to involve lashes. * Phthiriasis palpebrum * Pediculosis
Pediculosis
50
Infestation of lashes with lice causes chronic blepharitis and chronic follicular conjunctivitis. * Bacterial blepharitis * Seborrhoeic or squamous blepharitis * Mixed staphylococcal with seborrhoeic blepharitis * Posterior blepharitis or meibomitis * Parasitic blepharitis
Parasitic blepharitis
51
red and inflamed * Lid margins * Lice * Nits (eggs) ** DOUBLE CHECK THE ANSWER**
* Lid margins | * Lice
52
anchoring the lashes with their claws may be seen on slit-lamp examination * Lid margins * Lice * Nits (eggs)
Lice
53
seen as opalescent pearls adherent to the base of cilia. * Lid margins * Lice * Nits (eggs)
Nits (eggs)

OCULAR DISEASE RNH (17 decks)

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