Diseases Of Eyelid

Question 1

Define ankyloblepharon

Answer 1

Adhesion of upper and lower eyelid margin

Question 2

Blepharoptosis define

Answer 2

Dropping of upper eyelid

Question 3

Distichiasis define

Answer 3

Formation of extra row of eyelashes

Question 4

Trichiasis

Answer 4

Eyelash inward touching cornea/ conjunctiva.

Question 5

Euryblepharon define

Answer 5

Enlarged palpebral aperature
Shortening of vertical and lengthening of horizontal aperture of eyelid.

Question 6

Madarosis

Tylosis

Answer 6

Loss of eyelash

Hypertrophy of lid margins
Consequent dropping

Question 7

Entropion Vs extropion

Answer 7

Inward turning of eyelid
Outward turning of eyelid away from globe

Question 8

Modified sebacceous glands of eyelid is called
Modified sweat glands of eyelid is called …

Answer 8

Meibomian glands

Glands of Moll

Question 9

Accessory lacrimal glands are called (2)

Answer 9

Glands of krause and wolf ring

Question 10

Chalazion define
Hordeleum internus
Hordelum externus

Answer 10

Granulomatous I.F of eyelid

Acute bacterial infection of Mei onion glands

Acute bacterial infection of glands of zeiss and moll

Question 11

Eye involvement sign of myasthenia graves

Myotonic dystrophy is on chromosome…

Answer 11

Cogan twitch sign
19q

Question 12

Ocular myopathy presents as …..

Answer 12

Chronic progressive external opthalmoplegia

Question 13

Define simple congenital ptosis
Can be …..

Answer 13

Due to developmental dystrophy of levator muscle
Can be u/l or b/l

Question 14

Features of congenital ptosis (6)

Answer 14

1. Abscence of lid crease
2. Superior rectus weakness
3. Compensatory chin elevation
4. Lid lag on downward gaze
5. Astigmatism
6. Anisometropia

Question 15

Define Marcus Gunn jaw winking syndrome

Answer 15

Retraction of ptosis with chewing- stimulation of pterygoid muscle

Question 16

Manipulation or trauma of superior palpebrae muscle complex by bridle suture causes …….ptosis

Answer 16

Aponeurotic ptosis

Question 17

Mechanical ptosis is due to ….

Answer 17

Lid tumours

Question 18

Rx of congenital ptosis

Answer 18

1. FS operation. : good levator fn (10mm)
   Mild ptosis with Horner
   Mild congenital ptosis
2. Levator resection: good levator fn
3. Frontalis sling operation:
   Brow suspension
   a. Severe ptosis with poor levator fn
   <4mm
   b. Severe congenital ptosis
   c. Marcus Gunn jaw winking syndrome

Question 19

Levator resection is aka…..(2)

Answer 19

Everbusch’s
Blaskowic’s operation

Question 20

D/d for recurrent chalazion

Answer 20

Meibomian gland carcinoma- Sebaceous gland carcinoma

Question 21

Whitenall’s sling procedure …..is preserved

Answer 21

Mullers muscle

Question 22

What’s is jones operation?

Answer 22

Done for severe case of entropion.
Eyelid retractors are straightned by tucking or plication procedure.

Question 23

Papillary conjunctivitis can be a complication of …..rx

Answer 23

Posterior blepharitis.
Flumetholone-weak steroid

Question 24

Posterior blepharitis is aka…..

Answer 24

Meibomitis- I.f of meibomian gland.

Question 25

Feature of acute meibomitis

Answer 25

Caused by staph aureus-pressure on it, pus —>serosanguinous discharge

Question 26

Chronic meibomitis seen with ……&……

Answer 26

Middle aged : those with seborrheic dermatitis /acne rosea

Question 27

Signs of chronic meibomitis (4)

Answer 27

1. white frothy foam like secretion on eyelid margin and canthi 2. Toothpaste appearance on the lids 3. Meibomian glands show capping of oil globules and pouting 4. Hyperemia, telangiectasia of eyelid margin

Question 28

Rx for meibomitis

Answer 28

1. Lid hygiene : warm compress, express the pus 2. Topical antibiotic 3. Oral antibiotic- doxycycline,if c/i-erythro 4. Artificial tear drops.

Question 29

Difference between bhlepharophimosis Vs euryblepharon

Answer 29

Blepharophismosis: horizontal palpebral fissure narrowing Euryblepharon: horizontal palpebral fissure widening

Question 30

Clinical finding of blepharophimosis syndrome (3)

Answer 30

Telecanthus-widening of intracanthal dist Blepharophimosis Blepharoptosis

Question 31

Epiblepharon seen with …… ass with …..

Answer 31

Asian children - altered eyelid retractor Ass with exposure keratopathy

Question 32

What is blepharochalasis? Rx

Answer 32

Repeated bouts of eyelid swelling. Rx: oral acetazolamide, topical hydrocortisone

Question 33

Define dermatochalasis

Answer 33

Excessive eye lid skin -secondary to aging

Question 34

Define steatoblepharon

Answer 34

Bulging of orbital fat secondary to aging

Question 35

Blepharospam ass with …… Aponeurotic dehiscence ass with ….:

Answer 35

Blepharoptosis Entropion

Question 36

Causes of pulsatile proptosis (3)

Answer 36

1.Corticocavernous fistula 2. Aneurysm of opthalmic artery 3. Transmitted cerebral pulsation, meningocele,mengingoencephalocele

Question 37

Tumor which contains all the germ layers Rx

Answer 37

Teratoma Cyst excised without removing eyeball