eyelid disorders

Question 1

blepharitis:

Answer 1

inflammation of eyeid margins

can be assoc with dysfunction of meibomian glands

Question 2

blepharitis: features

Answer 2

gritty, itchy, dry sensation to eyes

Question 3

blepharitis: Mx

Answer 3

hot compress
gentle cleaning

lubricating eye drops - polyvinyl alcohol

Question 4

Hordeolum externum

Answer 4

infection of gland of Zeis of gland of Moll

glands at base of eyelashes

stye. -tender lump along eyelid

Question 5

hordeolum internum

Answer 5

infection Meibomian glands

deeper, more painful and point towards eyeball

Question 6

stye - Mx

Answer 6

hot compress
analgesia

consider antib if assoc conjunctivitis or persistent

Question 7

Chalazion

Answer 7

Meibomian gland becomes blocked and swells up

aka meibomian cyst

swelling in eyelid, typically non-tender

Question 8

Chalazion - Mx

Answer 8

hot compress
analgesia

consider antib if acutely inflamed

Question 9

Entropian

Answer 9

eyelid turns inwards with the lashes against eyeball

pain, corneal damage, ulceration

Question 10

Entropian Mx

Answer 10

tape eyelid down (+ give lubricating eyedrops)

same day ophthalmology referral
surgical intervention

Question 11

ectropion

Answer 11

eyelid turns outwards with inner aspect eyelid exposed

can result in exposure keratopathy

Question 12

ectropion Mx

Answer 12

lubricating eye drops

surgery

sameday ophthalmology referral

Question 13

Trichiasis

Answer 13

inward growth of eyelashes

pain, corneal damage and ulceration

same day ophthalmology referral
epilation

Question 14

periorbital cellulitis

Answer 14

aka preorbital cellulitis

eyelid and skin infection in front of orbital septum

Question 15

periorbital cellulitis - features

Answer 15

swelling, redness, hot skin around eyelids and eye

Question 16

differentiating periorbital cellulitis from orbital cellulitis

Answer 16

CT

Question 17

periorbital cellulitis - Mx

Answer 17

systemic antibiotics

can develop to orbital cellulitis so vulnerable patients/severe cases may need admitted for observation

Question 18

orbital cellulitis

Answer 18

infection around eyeball that involves tissue behind orbital septum

Question 19

orbital cellulitis features

Answer 19

painful eye movement 
reduced eye movement 
change to vision 
abnormal pupil reactions
proptosis

Question 20

orbital cellulitis - Mx

Answer 20

admission

IV antibiotics