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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
Q

should be used 3–4 times a day

  • Eye ointment
  • Antibiotic eye drops
  • Oral antibiotics
A

Antibiotic eye drops

26
Q

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
A

Oral antibiotics

27
Q

such as fluoromethalon may be required in patients with papillary conjunctivitis, marginal keratitis and phlyctenulosis

  • Topial steroids (weak)
  • Ocular lubricants
A

Topial steroids (weak)

28
Q

artificial tear drops, are required for associated tear film instability and dry eye

  • Topial steroids (weak)
  • Ocular lubricants
A

Ocular lubricants

29
Q

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
A

Seborrhoeic or squamous blepharitis

30
Q

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
A

Seborrhoeic or squamous blepharitis

31
Q

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
A

Seborrhoeic or squamous blepharitis

32
Q

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
A

Accumulation of white dandruff-like scales

33
Q

but are usually replaced quickly without distortion.

  • Accumulation of white dandruff-like scales
  • The lashes fall out easily
A

The lashes fall out easily

34
Q

thickened and the sharp posterior border tends to be rounded leading to epiphora, in long standing cases.

  • Lid margin
  • Signs of bacterial blepharitis
A

Lid margin

35
Q

may be superadded in patients with mixed seborrhoeic and bacterial blepharitis.

  • Lid margin
  • Signs of bacterial blepharitis
A

Signs of bacterial blepharitis

36
Q

Posterior Blepharitis is also known as ____

A

meibomitis

37
Q

commonly occurring meibomian gland dysfunction, seen more commonly in middle aged persons,

  • Chronic meibomitis
  • Acute meibomitis
A

Chronic meibomitis

38
Q

occurs due to staphylococcal infection.

  • Chronic meibomitis
  • Acute meibomitis
A

Acute meibomitis

39
Q

with acne rosacea and/or seborrhoeic dermatitis.

  • Chronic meibomitis
  • Acute meibomitis
A

Chronic meibomitis

40
Q

It is characterized by painful swelling around the involved gland.

  • Chronic meibomitis
  • Acute meibomitis
A

Acute meibomitis

41
Q

Pressure on it results in expression of pus bead followed by serosanguinous discharge.

  • Chronic meibomitis
  • Acute meibomitis
A

Acute meibomitis

42
Q

Bacterial lipases are being blamed to play main role in the pathogenesis of __________-

  • Chronic meibomitis
  • Acute meibomitis
A

Chronic meibomitis

43
Q

form of eye ointment should be rubbed at the lid margin immediately after massage, and

  • Topical antibiotics
  • Systemic tetracyclines
A

Topical antibiotics

44
Q

remain the mainstay of treatment of posterior blepharitis because of their ability to block staphylococcal lipase production.

  • Topical antibiotics
  • Systemic tetracyclines
A

Systemic tetracyclines

45
Q

artificial tear drops are required for associated tear film instability and dry eye disease

  • Ocular lubricants
  • Topical steroids(weak)
A

Ocular lubricants

46
Q

such as fluoromethalon may be required in patients with papillary conjunctivitis

  • Ocular lubricants
  • Topical steroids(weak)
A

Topical steroids (weak)

47
Q

refers to the infestation by phthirus pubis (crab louse).

  • Phthiriasis palpebrum
  • Pediculosis
A

Phthiriasis palpebrum

48
Q

It is most commonly seen in adults in whom it is usually acquired as a sexually transmitted infection

  • Phthiriasis palpebrum
  • Pediculosis
A

Phthiriasis palpebrum

49
Q

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
A

Pediculosis

50
Q

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
A

Parasitic blepharitis

51
Q

red and inflamed

  • Lid margins
  • Lice
  • Nits (eggs)

** DOUBLE CHECK THE ANSWER**

A
  • Lid margins

* Lice

52
Q

anchoring the lashes with their claws may be seen on slit-lamp examination

  • Lid margins
  • Lice
  • Nits (eggs)
53
Q

seen as opalescent pearls adherent to the base of cilia.

  • Lid margins
  • Lice
  • Nits (eggs)
A

Nits (eggs)

OCULAR DISEASE RNH (17 decks)

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