Disease and Conditions of the Eyelids - Dolphens Flashcards
Identify this condition and describe the treatment:
furuncle that points onto the conjunctival surface of the lid, examination shows involvement of the meibomian gland
Stye (Internal Hordeolum)
meibomian gland involvement
can be on the upper or lower lid
can lead to generalized cellulitis
tx: warm compresses, topical antibiotics, may need I&D if conservative treatment fails
watch for cellultiis, may lead to a chronic inflammatory lesion
Identify this condition and describe the treatment:
pt reports foreign body sensation, burning sensation, lid crust, also has a problem with dandruff exam: no ulcerations
Seborrheic Blepharitis
associated with seborrheic dermatitis invovlement often of scalp, lashes, eyebrows and ears
tx: chronic condition, lid hygiene
Identify this condition and describe the treatment:
young infant, parents report excessive tearing
Nasolacrimal Duct Obstruction and Dacryocystitis
may devleop an infection
tx: massage over nasoalcrimal sac, cleanse the lids if infected use topical antibioitcs, may resolve on its own, or surgical treatement - probing of the duct
Exposure Keratitis
similar to dry eyes
cause: incomplete lid closure during blinking and sleep
may result from: Bell’s palsy, malpositioned eyelids, thyroid exopthalmos
tx: lubricating solutions, mechanical measures to help close lid
define Blepharospasm:
eyes closed, lid spasms, may also have facial twitches
Identify this condition and describe the treatment:
hard, nontender swelling, conjunctiva - red and swollen, chronic granulomatous inflammation
Chalazion
chronic granulomatous inflammation of a meibomian gland
may follow an internal hordeolum
vision may or may not be blurred in addition to the other symptoms listed
tx: warm compresses refer: if persistent, ophthamologist may incise and curettage or corticosteroid injections
define Lid Retraction
eye bigger, appears to stare, upper lid pulled up, lower lid pulled down (Grave’s Disease)
Identify this condition and describe the treatment:
localized, painful lid swelling, furuncle on the eyelid margin
STYE (Acute Hordeloum- External)
usually a staphylocoocal infection
involves lash follicle and gland Zies or Moll
tx: warm moist compresses, topical (or oral) antibiotics, may spontaneously drain or resolve, I&D if conservative treatment fails
define Blepharoptosis:
upper lid droop, excess skin
Identify this condition and describe the treatment:
exam shows lids are hyperemic with telangiectasis, inflammation of the meibomian glands
Posterior Blepharitis -
inflammation of meibomian glands can be bacterial (staphylococcal) or glandular dysfunction association with acne rosacea
define Entropion:
eyelid flipped in, lashes and skin against the eye
define Trichiasis:
normal lid position; lashes directed posteriorly
define Dermatochalasis
baggy eyelids
Identify this condition and describe the treatment:
pt reports foreign body and burning sensations and matting of the lashes exam: lid crusting, red-rims, discharge, some loss of lashes
Staphylococcal Blepharitis
can be intially asymptomatic, may also observe loss of lashes (ulceration) chronic condition
tx: lid hygiene, topical antibiotics for staph
define Ectropion:
eyelid flipped out, conjunctiva exposed
Identify this condition and describe the treatment: pt reports foreign body sensation, dryness, burning, exam shows lack of corneal and conjuctival luster, punctate erosions, stringy discharge
Dry Eye
Keratitits Sicca
Keratoconjunctivitis Sicca
deficiency in tear production, symptoms worsen as the condition progresses may be releated to autoimmune disorder, secondary to systemic drugs
tx: lubrication with artificial tears or ointment (Lacrilube)
