Eyelid Disorders Flashcards

1
Q

What is blepharitis?

A

Inflammation of the eyelid margins

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2
Q

What can blepharitis lead to?

A

Chalzions and styes

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3
Q

Presentation of blepharitis?

A

Gritty, itchy, dry sensation in eyes

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4
Q

What can blepharitis be associated with?

A

Dysfunction of Meibomian glands

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5
Q

What are Meibomian glands?

A

Responsible for secreting oil onto eye surface

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6
Q

Management of blepharitis?

A

Hot compress

Gentle cleaning of the eyelid margins to remove debris using cotton wool dipped in sterilised water & baby shampoo

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7
Q

What can be used for symptomatic relief in Blepharitis?

A

Lubricating eye drops

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8
Q

Different types of eye drops for lubrication?

A
Hypromellose drops (Least viscous)
Polyvinyl alcohol drops 
Carbomer drops (last 30-60 mins, most viscous)
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9
Q

2 types of stye?

A

Hordeolum externum:

Hordeollum internum

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10
Q

What is hordeolum externum?

A

Infection of the glands of Zeus or glands of Moll

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11
Q

Presentation of hordeolum externum?

A

Tender red lump along eyelid + possible pus

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12
Q

What and where are the glands of Zeis?

A

Sebaceous glands @ base of eyelash

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13
Q

What and where are the glands of Moll?

A

Sweat glands at base of eyelashes

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14
Q

What is hordeolum internum?

A

Infection of Meibomian glands?

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15
Q

Presentation of hordeolum internum?

A

Deeper, more painful and may point inwards toward eyeball, underneath eyelid

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16
Q

Management of styes?

A

Hot compress and analgesia

Consider topic antibiotics eg chloramphenicol if associated with conjunctivitis or symptoms are persistent

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17
Q

What is a chalzion?

A

Often called a Meibomian cyst

18
Q

Why does a chalzion occur?

A

When a Meibomian gland becomes blocked & swells

19
Q

Presentation of a chalzion?

A

Swelling in eyelid, typically not tender however can sometimes be tender & red

20
Q

Management of a chalzion?

A

Hot compress & analgesia

  • Consider topic antibiotics (chloramphenicol) if inflammed acutely
  • Rarely if other management fails consider surgical drainage
21
Q

What is an entopion?

A

Condition where the eyelid turns inwards with the lashes against the eyeball

22
Q

Presentation of entropion?

A

Pain and can result in corneal damage & ulceration

23
Q

Initial management of entropion?

A

Taping eyelid down to prevent it turning upwards

prevent the eye drying with lubricating drops

24
Q

Definitive management for entropion?

A

Surgical intervention

25
Q

What is ectropion?

A

Where the eyelid turns outwards with inner aspect of the eyelid exposed
This usually affects the bottom lid

26
Q

What can ectropion result in?

A

Exposure keratopathy as the eyeball is exposed & inadequately lubricated/protected

27
Q

Treatment of moderate ectropion?

A

Regular lubricating eye drops

28
Q

Treatment of mild ectropion?

A

None required

29
Q

Treatment of severe ectropion?

A

Significant cases require surgery to connect

30
Q

What is trichiasis?

A

Inward growth of eyelashes

31
Q

Presentation of trichiasis?

A

Pain and corneal damage/ulceration

32
Q

Management of trichiasis?

A
Specialist removes eyelash (epilation)
Recurrent cases get 
-Electrolysis 
-Cryotherapy 
-Laser treatment 
All to prevent eyelash regrowth
33
Q

What is periorbital cellulitis?

A

Eyelid & skin infection infront of the orbital septum (the eye)

34
Q

What is periorbital cellulitis AKA?

A

Preorbital

35
Q

Presentation of preorbital cellulitis?

A

Swelling
Redness
Hot skin around eye

36
Q

Which is sight threatening orbital cellulitis or preorbital cellulitis?

A

ORBITAL

37
Q

Which investigation helps differentiate between preorbital and orbital cellulitis?

A

CT scan

38
Q

Treatment of preorbital cellulitis?

A
Systemic antibiotics (oral or IV) 
Preorbital can develop into orbital in vulnerable patient such as children so may require admission to be observed
39
Q

What is orbital cellulitis?

A

Infection around the eyeball involving tissues behind the orbital septum

40
Q

Presentation of orbital cellulitis?

A
Pain on eye movement 
Changes in vision 
Reduced eye movements
Abnormal pupil reaction 
Forward movement of eyeball (proptosis)
41
Q

Management of orbital cellulitis?

A

MEDICAL EMERGENCY
Admit patient
IV antibiotics
May require surgical drainage if an abscess forms