Eye Disorders: Pathophys/Etiology Flashcards
Eversion of eyelid and eyelashes
Ectropion
relaxation of _______ causes ectropion
orbicularis oculi
Inversion of eyelid and eyelashes
Entropion
Spasm of ______ may cause entropion
orbicularis oculi
Which is more common in elderly patients? Entropion or Ectropion
Entropion
Infection of lacrimal sac due to nasolacrimal duct obstruction
Dacrocystitis
4 Infectious agents that commonly cause dacrocystitis…
staph epidermis
staph aureus
GAS
Pseudomonas
Inflammation of the eyelid margin.
Can be posterior or anterior.
Blepharitis
Which type of blepharitis:
- Meibomian Gland Dysfunction
- MC Type of blepharitis
Posterior
2 types of anterior blepharitis:
infectious (staph aureus or epidermis)
seborrheic
______ blepharitis involves the skin and base of eyelashes
anterior
localized abscess of the eyelid margin…
Hordeolum
MC cause of hordeolum
Staph Aureus (90% of cases)
Painless indurated granuloma of internal Meibomian sebaceous gland
Chalazion
Chalazion is caused by obstruction of what gland(s)?
Zeis or Meibomian Glands
Slow growing thickening of bulbar conjunctiva consisting of fat, protein and calcium.
Pinguecula
Slow growing thickening of bulbar conjunctiva which starts medially
Pterygium
Disruption of the outer membranes of the eye due to blunt or penetrating trauma
911
Globe rupture
Fx of orbital floor due to blunt trauma
May lead to trapping of eye structures
Orbital Floor “Blowout Fx”
Orbital Floor consists of which 3 bones?
zygomatic, palatine, maxillary
4 types of orbital floor fx…
Inferior, Medial, Superior, lateral
Which type of orbital floor fx is MC?
Inferior (floor)
Which type of orbital floor fx?
orbital fat and/or inferior rectus prolapse into maxillary sinus
Inferior
Which type of orbital floor fx?
orbital fat and medial rectal prolapse into ethmoid air cells
Medial
Uncommon types of orbital floor fx…
superior/lateral
MC primary intraocular malignancy of childhood
Most dx before age 3
Retinoblastoma
2 types of retinoblastoma:
Non-heritable
heritable
Retinoblastoma is due to mutations in _____gene
RB1 gene
Which type of retinoblastoma may develop into bilateral retinoblastoma?
heritable
MC cause of permanent legal blindness and vision loss in older adults (75+ yo)
Macular Degeneration
2 types of Macular Degeneration
Dry (atrophic), Wet (neovascular/exudative)
Which type of macular degeneration is not as common, but more aggressive?
Wet (within months)
Which type of macular degeneration is MC type, and is progressive in nature?
Dry (over decades)
MC cause of new, permanent vision loss in 20-74 yo…
Diabetic Retinopathy
3 Types of diabetic retinopathy
nonproliferative, proliferative, maculopathy
Damage to the retinal blood vessels from longstanding high blood pressure…
hypertensive retinopathy