Eyelids Flashcards
1
Q
Pseudoptosis
A
lack lid support contralateral lid retraction ipsilateral hypotonia brow ptosis - excessive eyebrow skin dermatochalasis - excessive eyelid skin
2
Q
Ptosis causes
A
ageing CN III palsy Horner's syndrome MG levator mm trauma mitochondrial myopathies congenital ptosis
3
Q
Ectropion
causes and treatment
A
ageing
CN VII palsy
cicatricial scarring
bulky tumours causing lid eversion
ocular lubricants
surgical
botulinum toxin
lid taping
4
Q
Entropion
causes and treatment
A
chronic FB sensation
epiphoria
ageing
conjunctival scarring
spasm of orbiculares oculi
congenital - rare
surgical
botulinum injections
epilation lashes
5
Q
Blepharitis (staph/seborrheic)
treatment
A
lid hygiene
topical AB
systemic AB (6-8 weeks)
ocular lubricants
6
Q
Senile Actinic keratosis
A
most common pre-malignant skin lesion –> SCC
7
Q
Blepharitis complications
A
chalazion corneal vascularisation and scarring trichiasis poliosis - decrease melanin madarosis - absence or loss of eyelashes
8
Q
Chalazion
A
chronic granuloma of Meibomian glands painless Desmares chalazion forceps evert eyelid and expose chalazion or cyst for removal or drainage incision on tarsal conjunctival surface directed vertically
9
Q
Stye - external hordeolum
A
Abscess discharging at lash follicle and gland of Zeis/Moll staph infxn topical AB warm compress remove lash
can complicate to preseptal cellulitis
10
Q
Internal hordeolum
A
Meibomian gland abscess more painful than stye topical AB warm compress incision + drainage
