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OCULAR DISEASE RNH > 15.3 KHURANA INFLAMMATORY DISORDERS OF EYELIDS > Flashcards

15.3 KHURANA INFLAMMATORY DISORDERS OF EYELIDS Flashcards

1
Q

It is an acute suppurative inflammation of lash follicle and its associated glands of Zeis or Moll.

  • BLEPHARITIS
  • EXTERNAL HORDEOLUM (STYE)
A

EXTERNAL HORDEOLUM (STYE)

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2
Q

It is more common in children and young adults (though no age is bar) and in patients with eye strain due to muscle imbalance or refractive errors.

  • BLEPHARITIS
  • EXTERNAL HORDEOLUM (STYE)
A

EXTERNAL HORDEOLUM (STYE)

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3
Q

are usually associated with recurrent styes

  • Age
  • Habitual rubbing of the eyes or fingering of the lids and nose, chronic blepharitis and diabetes mellitus
  • Metabolic factors, chronic debility, excessive
    intake of carbohydrates and alcohol
A

Habitual rubbing of the eyes or fingering of the lids

and nose, chronic blepharitis and diabetes mellitus

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4
Q

also act as predisposing factors

  • Age
  • Habitual rubbing of the eyes or fingering of the lids
    and nose, chronic blepharitis and diabetes mellitus
  • Metabolic factors, chronic debility, excessive
    intake of carbohydrates and alcohol
A

Metabolic factors, chronic debility, excessive

intake of carbohydrates and alcohol

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5
Q

characterised by localised, firm, red, tender swelling at the lid margin associated with marked oedema. Usually, there is one stye, but occasionally, these may be multiple.

  • Stage of cellulitis
  • Stage of abscess formation
A

Stage of cellulitis

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6
Q

characterised by a visible pus point on the lid margin in relation to the affected cilia.

  • Stage of cellulitis
  • Stage of abscess formation
A

Stage of abscess formation

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7
Q

very useful especially in cellulitis stage.

  • Hot compresses 2–3 times a day
  • Evacuation of the pus
  • Surgical incision
A

Hot compresses 2–3 times a day

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8
Q

should be done by epilating the involved cilia, when the pus point is formed.

  • Hot compresses 2–3 times a day
  • Evacuation of the pus
  • Surgical incision
A

Evacuation of the pus

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9
Q

required rarely for a large abscess.

  • Hot compresses 2–3 times a day
  • Evacuation of the pus
  • Surgical incision
A

Surgical incision

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10
Q

should be applied to control the infection.

  • Antibiotic eye drops (3–4 times a day) and eye ointment (at bed time)
  • Systemic anti-inflammatory and analgesics
  • Systemic antibiotics
A

Antibiotic eye drops (3–4 times a day) and eye ointment (at bed time)

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11
Q

relieve pain and reduce oedema.

  • Antibiotic eye drops (3–4 times a day) and eye ointment (at bed time)
  • Systemic anti-inflammatory and analgesics
  • Systemic antibiotics
A

Systemic anti-inflammatory and analgesics

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12
Q

should be used for early control of infection.

  • Antibiotic eye drops (3–4 times a day) and eye ointment (at bed time)
  • Systemic anti-inflammatory and analgesics
  • Systemic antibiotics
A

Systemic antibiotics

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13
Q

is a chronic non-infective (non-suppurative) lipogranulomatous inflammation of the meibomian gland. This is the commonest of all lid lumps.

  • CHALAZION
  • INTERNAL HORDEOLUM
A

CHALAZION

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14
Q

also called a tarsal or meibomian cyst,

  • CHALAZION
  • INTERNAL HORDEOLUM
A

CHALAZION

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15
Q

It is a suppurative inflammation of the meibomian gland associated with blockage of the duct.

  • CHALAZION
  • INTERNAL HORDEOLUM
A

INTERNAL HORDEOLUM

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16
Q

occurs retention of secretions (sebum) in the gland, causing its enlargement. The pent-up and extravasated secretions (fatty in nature) act like an irritant and excite non-infective lipogranulomatous inflammation of the blocked meibomian glands and surrounding tissue.

  • CHALAZION
  • INTERNAL HORDEOLUM
A

CHALAZION

17
Q

gradually increasing in size is the main presenting symptom.

  • Painless swelling in the eyelid
  • Mild heaviness in the lid
A

Painless swelling in the eyelid

18
Q

may be felt with moderately large chalazion

  • Painless swelling in the eyelid
  • Mild heaviness in the lid
A

Mild heaviness in the lid

19
Q

may occur occasionally due to induced astigmatism by a very large chalazion pressing on the cornea.

  • Blurred vision
  • Watering (epiphora)
A

Blurred vision

20
Q

may occur sometimes due to eversion of lower punctum caused by a large chalazion of the lower eyelid.

  • Blurred vision
  • Watering (epiphora)
A

Watering (epiphora)

21
Q

noted slightly away from the lid margin which is firm to hard and non-tender on palpation.

  • Nodule
  • Reddish purple area
  • Marginal chalazion
A

Nodule

22
Q

Upper lid is involved more commonly than the lower lid probably because of the fact that upper lid contains more meibomian glands than the lower lid. Frequently multiple chalazia may be seen.

  • Nodule
  • Reddish purple area
  • Marginal chalazion
A

Nodule

23
Q

where the chalazion usually points, is seen on the palpebral conjunctiva after eversion of the lid.

  • Nodule
  • Reddish purple area
  • Marginal chalazion
A

Reddish purple area

24
Q

occurring occasionally, may present as small reddish grey nodule on the lid margin

  • Nodule
  • Reddish purple area
  • Marginal chalazion
A

Marginal chalazion

25
Q

Patching of eye should be done, after instilling antibiotic eye ointment, for about 6 to 12 hours.

(T/F)

A

TRUE

26
Q

Symptoms include acute pain associated with swelling of the lid, mild watering and photophobia.

Thus, the symptoms are similar to hordeolum externum, except that pain is more intense, due to the swelling being embedded deeply in the dense fibrous tissue.

  • INTERNAL HORDEOLUM
  • MOLLUSCUM CONTAGIOSUM
A

INTERNAL HORDEOLUM

27
Q

Signs include a localized, firm, red, tender swelling of the lid associated with marked oedema.

  • INTERNAL HORDEOLUM
  • MOLLUSCUM CONTAGIOSUM
A

INTERNAL HORDEOLUM

28
Q

It is a viral infection of the lids, commonly affecting children. It is caused by a large poxvirus.

  • INTERNAL HORDEOLUM
  • MOLLUSCUM CONTAGIOSUM
A

MOLLUSCUM CONTAGIOSUM

29
Q

Its typical lesions are multiple, pale, waxy, umbilicated swellings scattered over the skin near the lid margin

  • INTERNAL HORDEOLUM
  • MOLLUSCUM CONTAGIOSUM
A

MOLLUSCUM CONTAGIOSUM

OCULAR DISEASE RNH (17 decks)

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