EYELID CONDITIONS Flashcards

1
Q

NAME 5 eyelid conditions

A

Stye
Blepharitis
Chalazions
Ectropion
Entropion

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2
Q

some questions to ask when making diagnosis for eye conditions

A

Onset and Duration:

When did the symptoms start?
Are they constant, or do they come and go?

Nature of Symptoms:

Are you experiencing pain, itching, or burning in or around the eye/eyelid?
Is there any redness or swelling?
Do you have any discharge (watery, pus-like, or sticky)?
Is your vision affected (blurriness, double vision, or loss of vision)?

Location:

Is the issue affecting one eye or both?
Is the problem located on the eyelid, the surface of the eye, or deeper inside?

Associated Symptoms:

Do you have sensitivity to light (photophobia)?
Are you experiencing headaches, fever, or other systemic symptoms?
Have you noticed any lumps or bumps on the eyelid (e.g., stye or chalazion)?

Triggers and Exacerbating Factors:

Do any activities (e.g., reading, computer use, being outside) make the symptoms worse?
Have you been exposed to any allergens, dust, or irritants recently?
Medical and Ocular History:Have you had any eye conditions or surgeries in the past?
Do you wear contact lenses or glasses?
Have you been diagnosed with any systemic conditions like diabetes, hypertension, or autoimmune diseases?

Recent Trauma or Infections:

Have you had any recent injuries to the eye or eyelid?
Have you had any recent respiratory infections or illnesses?

Medication Use:

Are you using any eye drops, medications, or ointments?
Are you taking any systemic medications that might cause side effects related to the eyes?

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3
Q

stye description

aka Hordeulum

A

is a painful, red lump that forms on the edge of the eyelid, usually due to a bacterial infection (often Staphylococcus aureus) affecting the oil glands or hair follicles of the eyelashes.

can be internal or external , and resolves itself in about a week

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4
Q

stye treatment

A

warm compresses for about 5 to 10 minutes. repeat for 2-4 times a day

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5
Q

chalazion

A

is a common condition in which a small lump or cyst develops in your eyelid due to a blocked oil gland

usually not pianful and has no pus

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6
Q

chalazion treatments

A

warm compresses
OTC medications to relieve irritation

usually resolves itself in a few months. surgery could be an alternative if usual treatments do not work

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7
Q

the oil glands are aka

A

meibomian glands

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8
Q

blepharitis

A

a chronic inflammation of the eyelids, particularly where the eyelashes grow. It can affect both the upper and lower eyelids and is often caused by bacterial infections, clogged oil glands, or skin conditions like dandruff or rosacea

usually not serious. it is bilateral, meaning it affects both eyes.

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9
Q

blepharitis treatment

A

warm compresses

using steroid eyedrops or eyepads to keep the eye clean

antibiotic treatment

note that underlying risk factors might need to be treated for blepharitis(like dandruff….etc)

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10
Q

entropion

A

Entropion is a condition where the eyelid (typically the lower eyelid) turns inward toward the eye, causing the eyelashes and skin to rub against the cornea (the clear front surface of the eye).

there are sveral types, like involutional, conigenital….etc

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11
Q

causes of entropion

A

Aging: The primary cause, where tissues like the muscle weaken and eyelids lose tone.

Injury or trauma: Leading to scar formation that pulls the eyelid inward.

Inflammation or infection: Triggering muscle spasms or causing scar tissue.

Genetic factors: In congenital cases where the condition is inherited.

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12
Q

some complications associated with entropion

A

Corneal damage: Long-term rubbing can cause corneal abrasions, ulcers, or infections, which may impair vision.

Infections: Recurrent eye infections like conjunctivitis.

Vision loss: Rare, but can occur if untreated corneal damage progresses.

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13
Q

treatment for entropion

A

Lubricating eye drops or ointments: To relieve irritation and prevent further damage.

Botulinum toxin (Botox): Temporary relief by weakening the muscles that pull the eyelid inward.

Surgery: The definitive treatment, especially in severe or chronic cases, to reposition the eyelid correctly.

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14
Q

ectropion

A

is a condition where the lower eyelid turns outward and away from the eye, leaving the inner surface of the eyelid exposed.

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15
Q

symptoms of ectropion

A

Excessive tearing (epiphora): The eyelids fail to drain tears properly.

Dryness: Exposure of the inner eyelid causes the eye to dry out.

Redness and irritation: Due to dryness and exposure to the environment.

Sensitivity to light and wind.

Foreign body sensation.

Recurrent infections such as conjunctivitis due to exposure.

Corneal damage

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16
Q

causes of ectropion

A

Aging: The most common cause, where tissues and muscles supporting the eyelid weaken.

Facial nerve paralysis: Like in Bell’s palsy, where the muscles controlling eyelid movement are impaired.

Trauma or scarring: From previous surgeries, burns, or injuries to the face and eyelid.

Tumors or heavy eyelids: Growths on the eyelid that weigh it down.

Genetics

17
Q

some complications associated with ectropion

A

Corneal exposure: Leading to dryness, abrasions, ulcers, or infections.

Chronic eye irritation and discomfort.

Vision impairment: If untreated, damage to the cornea can lead to loss of vision.

Infections: Repeated episodes of conjunctivitis due to poor eye protection and drainage.

18
Q

some treatmens for ectropion

A

surgery

non- surgical treatments like;
Lubricating Eye Drops and Ointments
Antibiotic Eye Drops/Ointments
Taping the Eyelid