15.3 KHURANA INFLAMMATORY DISORDERS OF EYELIDS Flashcards
It is an acute suppurative inflammation of lash follicle and its associated glands of Zeis or Moll.
- BLEPHARITIS
- EXTERNAL HORDEOLUM (STYE)
EXTERNAL HORDEOLUM (STYE)
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)
EXTERNAL HORDEOLUM (STYE)
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
Habitual rubbing of the eyes or fingering of the lids
and nose, chronic blepharitis and diabetes mellitus
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
Metabolic factors, chronic debility, excessive
intake of carbohydrates and alcohol
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
Stage of cellulitis
characterised by a visible pus point on the lid margin in relation to the affected cilia.
- Stage of cellulitis
- Stage of abscess formation
Stage of abscess formation
very useful especially in cellulitis stage.
- Hot compresses 2–3 times a day
- Evacuation of the pus
- Surgical incision
Hot compresses 2–3 times a day
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
Evacuation of the pus
required rarely for a large abscess.
- Hot compresses 2–3 times a day
- Evacuation of the pus
- Surgical incision
Surgical incision
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
Antibiotic eye drops (3–4 times a day) and eye ointment (at bed time)
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
Systemic anti-inflammatory and analgesics
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
Systemic antibiotics
is a chronic non-infective (non-suppurative) lipogranulomatous inflammation of the meibomian gland. This is the commonest of all lid lumps.
- CHALAZION
- INTERNAL HORDEOLUM
CHALAZION
also called a tarsal or meibomian cyst,
- CHALAZION
- INTERNAL HORDEOLUM
CHALAZION
It is a suppurative inflammation of the meibomian gland associated with blockage of the duct.
- CHALAZION
- INTERNAL HORDEOLUM
INTERNAL HORDEOLUM
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
CHALAZION
gradually increasing in size is the main presenting symptom.
- Painless swelling in the eyelid
- Mild heaviness in the lid
Painless swelling in the eyelid
may be felt with moderately large chalazion
- Painless swelling in the eyelid
- Mild heaviness in the lid
Mild heaviness in the lid
may occur occasionally due to induced astigmatism by a very large chalazion pressing on the cornea.
- Blurred vision
- Watering (epiphora)
Blurred vision
may occur sometimes due to eversion of lower punctum caused by a large chalazion of the lower eyelid.
- Blurred vision
- Watering (epiphora)
Watering (epiphora)
noted slightly away from the lid margin which is firm to hard and non-tender on palpation.
- Nodule
- Reddish purple area
- Marginal chalazion
Nodule
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
Nodule
where the chalazion usually points, is seen on the palpebral conjunctiva after eversion of the lid.
- Nodule
- Reddish purple area
- Marginal chalazion
Reddish purple area
occurring occasionally, may present as small reddish grey nodule on the lid margin
- Nodule
- Reddish purple area
- Marginal chalazion
Marginal chalazion
Patching of eye should be done, after instilling antibiotic eye ointment, for about 6 to 12 hours.
(T/F)
TRUE
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
INTERNAL HORDEOLUM
Signs include a localized, firm, red, tender swelling of the lid associated with marked oedema.
- INTERNAL HORDEOLUM
- MOLLUSCUM CONTAGIOSUM
INTERNAL HORDEOLUM
It is a viral infection of the lids, commonly affecting children. It is caused by a large poxvirus.
- INTERNAL HORDEOLUM
- MOLLUSCUM CONTAGIOSUM
MOLLUSCUM CONTAGIOSUM
Its typical lesions are multiple, pale, waxy, umbilicated swellings scattered over the skin near the lid margin
- INTERNAL HORDEOLUM
- MOLLUSCUM CONTAGIOSUM
MOLLUSCUM CONTAGIOSUM
