Eyelid position abnormalities Flashcards
Eyelid retraction causes
Thyroid eye disease (lid lag on downgaze)
Neurogenic
Mechanical
Miscellaneous
Eyelid retraction neurogenic causes
Contralateral ptosis Facial palsy Aberrant CNIII regeneration Parkinsonism Marcus Gunn jaw winking (ipsilateral pterygoid mm) Infantile hydrocephalus Sympathomimetic eyedrops Collier sign
Eyelid retraction mechanical causes
Surgical overcorrection
Scarring
Eyelid retraction miscellaneous causes
T21
Prominent globe
Uremia (summerskill sign)
Pseudoptosis
Blepharospasm Contralateral lid retraction Dermatochalasis Brow ptosis Ipsilateral hypotropia Apraxia
Ptosis exclusions
Plexiform neurofibroma
Tumours
Chalazia
Ptosis causes
Neurogenic
Myogenic
Aponeurotic
Mechanical
Ptosis neurogenic causes
CNIII palsy
Horner’s syndrome
Ptosis myogenic causes
Myasthenia gravis
Myotonic dystrophy
CPEO
Ptosis mechanical causes
Mass
Scarring
Ptosis aponeurotic causes
Levator weakness due to age
Determine cause of ptosis
History (congenital vs acquired)
Pupil reaction
Differential: CNIII palsy Horner's Myasthenia CNIII pupil sparing palsy
Botulinism effect on pupil
Pupil dilates
Ptosis due to CNIII palsy
Check EOM (CNIV and CNVI unaffected)
Ectropion causes
Ageing
CNVII palsy
Cicatricial (traumatic scarring/severe dermatitis)
Bulky eyelid tumour
Ectropion treatment
Surgery
Ocular lubricants
Eyelid taping
Entropion causes
Aging
Conjunctival scarring
Orbicularis oris spasms
Entropion treatment
Surgery
Botulinum toxin injection
Epilation of lashes
Blepharitis general
Staphylococcal
Seborrhoeic
Meibomianitis
Blepharitis complications
Internal/external hordoleum Trichiasis, poliosis, madarosis Chalazion Dry eye Corneal vascularisation and scarring Corneal infiltrates
Blepharitis management
Lid hygiene
Topical AB
Systemic AB 6 - 8 weeks
Ocular lubricants
Allergic eyelid diseases
Acute oedema
Atopic dermatitis
Contact dermatitis
Blepharochalasis
Infectious eyelid diseases
Preseptal cellulitis Herpes simples HZV Impetigo Erysipelas Impetigo Necrotising fascitis
Miscellaneous eyelid diseases
Fat herniation
Systemic causes
Acute allergic oedema
Insect bite, urticaria, angioedema
Self-limiting
Dermatitis
Contact with chemical, allergic in origin
Preseptal cellulitis
Insect bite, minor trauma, URTI, ear infection, local spread
Systemic AB
Herpes zoster
Oral antivirals
Impetigo
Staph/strep
Topical and systemic AB
Erysipelas
Staph (minor trauma)
AB
Systemic eyelid oedema causes
Renal failure
Cardiac failure
SVC obstruction
Eyelid lumps
Inflammatory Infective Neoplastic Trauma Retention cysts
