Eyelids

Question 1

What is blepharitis

Answer 1

Eyelid margin inflammation causing gritty, itchy eyes
Meibomian gland dysfuction
Leads to styes and chalazions

Question 2

How is blepharitis managed?

Answer 2

Hot compress

Gentle cleaning of eyelid with cotton wool, sterile water and baby shampoo

Question 3

What is a stye?

Answer 3

Hordoleum externum: infection of gland of Zeis or glands of Moll- tender red lump caused
Hordoleum internum: meibomian gland infection- deeper and more painful

Treated with hot compress and analgesia

Question 4

What is a chalazion?

Answer 4

Meibomian gland cyst. Non tender eyelid swelling

Question 5

What is entropion?

Answer 5

Eyelid tiwns inward against eyeball. Corenal damage and ulceration
Managed with tape the same day (eyedrops provided) then surgery (same day referral)

Question 6

What is ectropion?

Answer 6

Eyelid turns out (usually lower) leading to exposure keratopathy

Question 7

What is trichiasis?

Answer 7

Inward growth of eyelashes- treated with removal, and cryotherapy/laser if recurrent

Question 8

Orbital cellulitis

Answer 8

Pain around eyeball behind orbital septum
Pain on eye movemenbt, reduced eye movement, vison change, and abnormal pupil
Admit and IV ABX

Question 9

Periorbital cellulitis

Answer 9

Swelling, redness and hot skin around eyelid and eye (CT to distinguish from orbital)
Oral or IV ABX