Eyelid Disorders Flashcards
What is blepharitis?
Inflammation of the eyelid margins
What can blepharitis lead to?
Chalzions and styes
Presentation of blepharitis?
Gritty, itchy, dry sensation in eyes
What can blepharitis be associated with?
Dysfunction of Meibomian glands
What are Meibomian glands?
Responsible for secreting oil onto eye surface
Management of blepharitis?
Hot compress
Gentle cleaning of the eyelid margins to remove debris using cotton wool dipped in sterilised water & baby shampoo
What can be used for symptomatic relief in Blepharitis?
Lubricating eye drops
Different types of eye drops for lubrication?
Hypromellose drops (Least viscous) Polyvinyl alcohol drops Carbomer drops (last 30-60 mins, most viscous)
2 types of stye?
Hordeolum externum:
Hordeollum internum
What is hordeolum externum?
Infection of the glands of Zeus or glands of Moll
Presentation of hordeolum externum?
Tender red lump along eyelid + possible pus
What and where are the glands of Zeis?
Sebaceous glands @ base of eyelash
What and where are the glands of Moll?
Sweat glands at base of eyelashes
What is hordeolum internum?
Infection of Meibomian glands?
Presentation of hordeolum internum?
Deeper, more painful and may point inwards toward eyeball, underneath eyelid
Management of styes?
Hot compress and analgesia
Consider topic antibiotics eg chloramphenicol if associated with conjunctivitis or symptoms are persistent