Disorders Surrounding the Eye

Question 1

This is also known as a stye

Answer 1

Hordeolum

Question 2

Small abscess of one of the numerous Meibomian glands

Develops near skin surface adjacent to lashes

Answer 2

Hordeolum

Question 3

What is a common pathogen in hordeolum cases?

Answer 3

staph

Question 4

Non-tender, non-erythematous lump in the lid

granulomatous - NOT infection

Evolves from a hordeolum

Answer 4

Chalazion

Question 5

What is a differential diagnosis to consider in cases of Chalazion?

Answer 5

cancer

consider if friable, bleeding, or granulomous lesion, consider SCC

Question 6

Eyelashes turn outward

Product of lid changes later in life

Answer 6

Ectropion

Question 7

What are the causes of ectropion?

Answer 7

Age
Trauma
Bells Palsy

Question 8

Eyelashes turn inward

Rubs on the eye causing chronic corneal abrasions

Most often a product of lid changes later in life

Answer 8

Entropion

Question 9

Most common cause of persistent tearing and ocular disease in children

6% of infants

Answer 9

Dacrostenosis

Question 10

What is the pathophysiology of dacrostenosis?

Answer 10

incomplete canalization of nasolacrimal duct

Question 11

Dacrostenosis typically resolves by what age?

Answer 11

Typically spontaneous resolution by 6 months

Question 12

When should you refer in dacrostenosis?

Answer 12

12 months

Ophthalmology consult for lacrimal duct probing