Disorder of lids, lashes and lacrimal Flashcards

1
Q

Hordeolum- Eti

A
  • Stye

- Absess on lid due to Staph

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2
Q

Hordeolum- Sx

A
  • Acutely tender, localized, red, swollen lid

- Internal or external

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3
Q

Hordeolum- Tx

A
  • Warm compress
  • Incision and drainage if unresolved in 48 hrs
  • Abx (bactraicin or erythromycin)
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4
Q

Dacryocystitis- Eti

A
  • Acute: S. aureus, beta heme stept
  • Chronic: S. epidermis, anaerobes, candida
  • Infection of lacrimal sac
  • Infants & > 40 yrs
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5
Q

Dacryocystitis- Sx

A
  • Pain, swelling, tenderness & redness in tear sac
  • Obstruction of nasolacrimal system
  • Purulent discharge
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6
Q

Dacryocystitis- Tx

A
  • Systemic abx

- lacrimal drainage if necessary

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7
Q

Chalazion- Eti

A
  • Granulomatous inflammation of meibomian gland

- Follows hordeolum

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8
Q

Chalazion- Sx

A
  • Hard, non tender swelling on upper of lower lid

- Redness and swelling of adjacent conjunctiva

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9
Q

Chalazion- Tx

A
  • Incision and curettage

- Corticosteroid injection

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10
Q

Ptosis- Eti

A
  • Eyelid disease- Horner syndrome, third nerve palsy, myasthenia gravis
  • Congenital or acquired
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11
Q

Ptosis- Sx

A
  • Drooping of upper eyelid
  • Unilateral or bilateral
  • Pupil may be dilated or react poorly to light
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12
Q

Ptosis- Tx

A
  • Observation

- Levitator muscle resection, frontal suspension

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13
Q

Entropian- Eti

A
  • Inward turing of lid, commonly lower

- Degeneration of lid fascia

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14
Q

Entropian- Sx

A

Eyelid appears inward turned

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15
Q

Entropian- Tx

A
  • Surgery if lashes rub on cornea

- Botox injections

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16
Q

Ectropian- Eti

A

Outward turning of lower lid

- Accompanies advanced age

17
Q

Ectropian- Tx

A

Surgery if excessive tearing, keratitis or cosmetic issues

18
Q

Blepharitis- Eti

A

Bilateral inflation of lid margins

  • Anterior- eyelid skin, lashes and glands- Staph or seborrheic
  • Posterior- Inflammation of meibomian glands- Staph, gland disorder, acne rosacea
19
Q

Blepharitis- Sx

A
  • Anterior- Red rimmed scales & granulation clinging to lashes
  • Posterior- Hyperemic with telangiectasis. Mild entropion, frothy greasy tears
20
Q

Blepharitis- Tx

A
  • Anterior- Cleaning with baby shampoo and hot cloth

- Posterior- Gland expression, abx & corticosteroids