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Ophthalmology > Eyelid problems > Flashcards

Eyelid problems Flashcards

1
Q

What is a stye?

A

acute infectious process involving abscess formation of eyelid

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2
Q

What is the other word for stye?

A

hordeolum

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3
Q

What are the different types of stye?

A

External - inf of glands of Zeis or Moll

Internal - inf of Meibomian glands, may leave chalazion

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4
Q

What organisms typically cause?

A

staph aureus

s epidermidis

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5
Q

What is a stye w out infection termed as

A

meibomian cyst

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6
Q

What are chalazions?

A

lump caused by blockage of the meibomian gland

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7
Q

How do chalazions present

A

firm painless lump

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8
Q

How do styes present?

A

acute painful localised eyelid swelling developing over several days

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9
Q

What is the management of styes?

A

Warm compress
Incision and drainage using sterile needle
dont give abx unless conjuncitvitis

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10
Q

What is the management of chalazion?

A

Usually self limiting
Warm compress
? incision + curettage

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11
Q

What is blepharitis?

A

inflammation of the eyelid margins

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12
Q

What are the causes of blepharitis?

A

Dry eyes lead to irritation!
Meibomian gland dysfunction
Seborrhoeic dermatitis/staph inf

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13
Q

wHat is blepharitis associated wit?

A

rosacea

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14
Q

What is the function of the meibomian glands?

A

secrete oil on to the eye surface to prevent rapid evaporation of the tear film

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15
Q

How does blepharitis present?

A

Bilateral
Burning, itching red margins
Foreign body sensation
Crusting of eyelids

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16
Q

What is the treatment of blepharitis?

A
  1. Clean crusts off lashes w cotton buds
  2. Artificial tears for sx relief
  3. Fusidic acid, steroid drops, oral doxycycline
17
Q

What are pinguecula?

A

degenerative vascular yellow/grey nodules on conjunctiva either side of cornea

18
Q

What are entropion?

A

lid interning, eyelashes irritate the cornea

19
Q

What is rx of entropion?

A

Taping lower lid to cheek
Temporary relief - botulinum toxin inj to lower lid
Surgery for more lasting relief

20
Q

What are ectropion?

A

lower lid eversion

21
Q

What are sx of ectropion

A

eye irritation, watering +/- exposure keratitis

22
Q

What are ectropion associated with?

A

old age

facial palsy

23
Q

What is rx of ectropion?

A

plastic surgery

24
Q

How do eyelid BCCs present?

What is rx

A

nodular lump
pearly edges +/- fine telangiectasia
rx: excision

25
Q

What are common benign tumours of the eyelid?

A

skin papilloma
seborroeic keratoses
pyogenic granulomata as a response to injury

Ophthalmology (11 decks)

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