Benign Eyelid Disorders (2)

Question 1

Squamous papilloma:
Why’s it important to know about?

What does it typically look like?

Answer 1

➊ Most common benign eyelid tumour

➋ Papillary shape with keratinised surface

Question 2

Blepharitis:
What is it?

What occurs here?
→ What can it lead to?

How does it present?

How is it managed?

Answer 2

➊ Inflammation of the eyelid margins

➋ Dysfunction of Meibomian glands, which secrete thicker oils onto eye surface
→ Styes and chalazions

➌ • Painful, gritty, itchy, dry eyes
• Worse in the morning

➍ • Lid hygiene - Hot compress and gentle cleaning of eyelid margins to remove debris, using cotton wool dipped in baby shampoo and warm water
• Avoid eye makeup
• Lubricating eye drops

Question 3

Stye:
What is the medical term for it?

What is it?
→ What are the functions of these glands?

How does it present?

How is it managed?

Answer 3

➊ Hordeolum externum

➋ Infection of glands of Zeis or Moll
→ • Glands of Zeis – Sweat glands at base of eyelashes
• Glands of Moll – Sebaceous glands at base of eyelashes

➌ Tender red lump along the eyelid that may contain pus

➍ Lid hygiene – Hot compress and analgesia

Question 4

Chalazion:
What is the medical term for it?

What is it?

How does its presentation differ from a Stye?

How is it managed?

Answer 4

➊ Hordeolum internum

➋ Infection of Meibomian glands

➌ Deep lump, tends to be more painful and point inwards towards eye

➍ Lid hygiene – Hot compress and analgesia

Question 5

Entropion and Ectropion:
What is Entropion?
→ What can it lead to?

What is Ectropion? What’s it due to?
→ What can it cause?

Answer 5

➊ Turning in of eyelid
→ Causes pain as eyelashes irritate cornea, therefore resulting in corneal damage and ulceration

➋ Turning out of eyelid due to laxity or facial palsy
→ Exposure keratopathy as the eyeball is exposed and not adequately lubricated and protected