Assessment/DDx Cards (AED) - less obvious ones Flashcards
.Name, how would you assess? (2)
Naevus: Benign ocular pigmented lesion
FAT and photos for yearly review
Name, How would you assess? (3)
Congenital melanocytosis
FAT, photos, DFE check for choroidal melanoma
Name, Ax (4)
Primary Acquired Melanosis (PAM):
FAT, photos of small lesions - monitoring for change; Biopsy if indicated (e.g. at limbus, corneal involvement, overgrowth in one eye); Check motility (like with all lumps/bumps really, you get the point)
Name, Ax (1)
Kaposi’s sarcoma:
Look for multiple lesions, lid eversions/gazes
Name, Ax (5)
Sturge-Weber Syndrome
SL
Lid eversion
IOP
Gonio
DFE
.Name, Ax (1)
Cyst of Moll/sweat glands
Ax: direct slit lamp
Name, Ax (1)
Cyst of Zeis Gland - Opaque lesion
Ax: Direct slit lamp
Name, ax (5)
Stye/Hordeolum
Ax:
VA
Touch (tender, firm, mobile)
Slit lamp (lid eversion, NaFl)
Size
Photodocuments
Name, ax (1)
Chalazion
Ax:
Rule out sinister lesion (e.g. sebaceous gland carcinoma) (with biopsy presumably)
Name, ax (1)
Sebaceous gland carcinoma
Ax: biopsy to check for ddx
Name, ax (2)
Molluscum contagiosum
Check eyebrows
Ensure no lymphadenopathy
name, ax (1)
Keratoacanthoma
Biopsy of keratin core
Name, ax (1)
Xanthelasma
Ax: assess systemic lipid profile
Solar or Actinic Keratosis: how do you assess? (2)
Photos to look for change
Biopsy for signs of malignancy
Name, Ax (4)
Neurotrophic keratopathy
Ax:
Identify underlying cause
Hx, SL (incl. lids), NaFl, wratten filter
Tear workup
Corneal sensitivity test - poke eye with cotton bud (compare with good eye)