Eyelids and Adnexa Flashcards
Hordeolum
infection of eyelid gland
localized swelling, redness, inflammation
painful and tender
acute
External Hordeolum
infection of eyelash follicle and it’s adjacent glands of Zeis and Moll
Internal Hordeolum
infection of meibomian gland
Treating Hordeolum
warm compress
antibiotics
pull lash inside if one present for better drainage
incision if bad enough
Most common cause of a hordeolum
Staph aureus
Increases chances for a hordeolum
chronic blepharitis, meibomian gland dysfunction, ocular rosacea
Chalazion
sebum from meibomian glands released into tarsus and adjacent tissues
noninfectious inflammatory reaction
granulomatous/ firm
slow growth
Treating Chalazion
warm compress
steroids
incision
Recurrent Chalazion
possible neoplastic lesion
should be biopsied
Poliosis
white eyelashes/ lack of pigmentation
Trichiasis
lashes scratching cornea
Madarosis
loss of lashes
Causes of Madarosis
chronic blepharitis
basal cell carcinoma
Causes of Poliosis
chronic blepharitis
drops
vitiligo
Causes of Acquired Trichiasis
inflammation
chlamydia
age changes
injury- chemical burns
Managing Trichiasis
epilation
fix lid- surgery
Epiblepharon
extra growth of skin
common in Asians
can cause trichiasis
Distichiasis
new growth of lashes from meibomian glands
congenital
acquired- metaplasia of meibomian glands
Treating Distichiasis
epilation
lasers
Trichomegaly
excessive growth of lashes
caused by drugs- prostaglandins
Blepharitis
inflammation of the eyelids