27. Diseases of the lacrimal system.

Question 1

what are the diseases of the lower lacrimal system

Answer 1

dacrocystitis - inflammation of lacrimal sac
most of the time unilateral

canaliculitis - inflammation of the collecting canniculi

Question 2

what are the diseases of the lacrimal gland ?

Answer 2

keratoconjuctivitis sicca

epiphora

dacroydentitis acuta

dacryadentitis chronica

Question 3

what are tumors of the lacrimal gland

Answer 3

pleomorphic adenoma

Question 4

what causes acute dacrocystitis ?

Answer 4

staphylocci
pseudomonas
due to obstruction of nasolacrimal duct

Question 5

signs and symptom of acute dacrocytitis ?

Answer 5

symptoms
radiating strong pain - radiating to forehead and teeth
fever

signs
lymphadenopathy
incomplete obstruction - pus leaving punctum lacrimal

Question 6

if the infection in acute dacrocystitis spread what happens

Answer 6

dakyophlegmone - increased risk for cavernous sinus thrombosis

Question 7

what is the aetiology of chronic dacrocystitis ?

Answer 7

obstruction of nasolacrimal duct - with chronic conjunctivitis / rhinitis

tumors of lacrimal sac

Question 8

what are the signs and symptoms fro chronic dacrocystitis ?

Answer 8

epiphora - excesive watering of eye
NO SIGNS OF INFLAMMATION

signs widening of lacrimal sac
pressure to lacrimal sac - large quantities of transparent mucoid pus to regurgitate through puncture

Question 9

complication of chronic dacrocystitis ?

Answer 9

serpiginous

corneal ulcer

Question 10

what is the treatment for chronic dacrocystitis ?

Answer 10

surgery - dacrocystorhinostomy

Question 11

what causes canniculitis ?

Answer 11

aktinomyceten

nocardia

Question 12

what ar the signs and symptoms for canniculitis ?

Answer 12

region is swollen and red and tender
epiphora

accompanying conductivity

pus

Question 13

treatment for canniculitis ?

Answer 13

antibiotics or surgical incision of canniculus

Question 14

what is keratoconjuctivitis sicca?

Answer 14

dryness of the conjunctiva and the cornea

Question 15

what causes keratoconjuctivitis sicca?

Answer 15

decrease team - lacrimal gland atrophy with age
aplasia of lacrimal gland -sjoren syndrome, SLE sacroidosis

disturbance of mucin layer - vit a deff

disturbance of lipid layer - chronic blepharitis

rare blinking - parkinsons

Question 16

what are the signs and symptoms of kertaoconjuctivitis sicca?

Answer 16

felling of foregone boy or dry eyes when closing
tired eyes
problems with completely closing eyes

Question 17

kertaoconjuctivitis sicca has what complication

Answer 17

increased risk of infections , ulceration and cloudy cornea

Question 18

what is the treatment for kertaoconjuctivitis sicca?

Answer 18

eye drops

surgical obliteration of puncta

Question 19

what are the causes for epiphora ?

Answer 19

crying - emotional stress
increased irritation of eye - smoking , dust

obstructive drainige - stenosis of lower lacrimal system
yelid deformity - ectropion , entropion , eversion of punctum lacrimale

Question 20

what is the cause for dacroyadenitis acute ?

Answer 20

rare condition, mostly one sided
complication of systemic measles , mumps
or - strep , pneumococci
local infection - hordeolum , conjuctivitis

Question 21

signs and symptoms of dacroyadenitis acute?

Answer 21

Ptosis,

Fever,
Headache
pain when applying pressure in area of glands,
swelling

Question 22

Dacryoadenitis chronica usually has association with inflammation of ?

Answer 22

parotid gland

Question 23

what causes Dacryoadenitis chronica

Answer 23

incomplete courage of acute
chronic conjunctivitis,
systemic diseases -Tbc, Sarkoidosis

Question 24

signs and symptoms of Dacryoadenitis chronica

Answer 24

More discrete than in the acute form, no pain.

Hardening of the gland

Question 25

signs and symptoms of Pleomorphic Adnoma

Answer 25

asymptomatic swelling in lateral upper area of orbita

tumor is big ghost image (doppelbilder) or one sided Exophthalmus