Eyelids (part 2)

Question 1

Diffuse eyelid disease:
1. allergic (4)
2. infections (2)
3. other (5)

Answer 1

Allergic
1. Acute oedema
2. Contact dermatitis
3. topic dermatitis
4. Blepharochalasis
Infections
1. Herpes simplex
2. Herpes zoster ophthalmicus
Miscellaneous
1. Myxoedema.
2. Renal disease.
3. Congestive heart failure.
4. Obstruction of superior vena cava.
5. Fabry disease.

Question 2

Regarding blepharochalasis
1. painfull or painless?
2. pitting or non?
3. uni or bilateral?
4. upper or lower eyelid?
5. affect which age?
6. management

Answer 2

1. painless swilling
2. pitting
3. bilateral.
4. upper eyelid
5. Starts at about puberty
6. Resolves after few days.

Question 3

write short note about blepharochalasis

Answer 3

you should mention these points
1. painless swilling
2. pitting
3. bilateral.
4. upper eyelid
5. Starts at about puberty
6. Resolves after few days.

Question 4

which antiviral effective for herpes?

Answer 4

acyclovir

Question 5

what is the causes of ectropion and entropion?

Answer 5

both
1. Involutional/aging
2. Cicatricial/scaring
ectropion
1. Paralytic
2. Mechanical

Question 6

what is the treatment of Involutional ectropion?

Answer 6

surgical correction

Question 7

Is the cicatricial ectropion uni or bilateral?

Answer 7

According to the cause
1. Traumatic scarring (uni)
2. Severe dermatitis (bi)

Question 8

Complications of paralytic ectropion:

Answer 8

1. Exposure keratopathy
2. Epiphora

Question 9

Why epiphora happen in paralytic ectropion?

Answer 9

1. Increase lacrimation due to corneal exposure
2. Failure of lacrimal pump

Question 10

Treatment of paralytic ectropion:

Answer 10

1. Artificial tears.
2. Botulinum injection into levator.
3. Tasorrhaphy

Question 11

Defin the ptosis

Answer 11

Abnormal dropping of upper eyelid

Question 12

Classification of ptosis (4)

Answer 12

1. Neurogenic
2. Myogenic
3. Aponerotic
4. Mechanical

Question 13

causes of neurogenic ptosis (4)

Answer 13

1. Third nerve palsy.
2. Third nerve misdirection.
3. Horner syndrome.
4. Marcus Gunn jaw-winking syndrome.

Question 14

causes of myogenic ptosis (4)

Answer 14

1. Myasthenia gravis.
2. Myotonic dystrophy.
3. Ocular myopathies.
4. Simple congenital.

Question 15

what is the causes of pseudo-ptosis (5)

Answer 15

1. Lack of lid support
2. Contralateral lid retraction
3. Ipsilateral hypotropia
4. Brow ptosis
5. Dermatochalasis

Question 16

what is the other name of third nerve misdirection?

Answer 16

Oculomotor Synkinesis

Question 17

what is Oculomotor Synkinesis

Answer 17

abnormal movements of upper lid accompany eye movements.

Question 18

regarding Oculomotor Synkinesis
1. it’s also called: ___
2. common/rare
3. uni/bi lateral
4. due to which nerve
5. also ___ involved

Answer 18

1. also called third nerve misdirection.
2. rare.
3. unilateral.
4. 3r nerve
5. pupil may involved

Question 19

regarding Horner syndrome
1. affect the pupil?
2. affect the iris?
3. cause elevation or depression of eyelids?

Answer 19

1. cause miosis but normal pupil reaction.
2. if congenital cause hypochromia.
3. depression of upper and slight elevation of lower.

Question 20

small swelling in the eyelid contain lipid, this probably called____

Answer 20

Chalazion

Question 21

what is the definition of Chalazion

Answer 21

It’s a chronic sterile lipogranuloma , slowly enlarging and non-tender.

Question 22

are there risk of malignancy in case of Chalazion?

Answer 22

yes, if recurrent

Question 23

what is the treatment of Chalazion

Answer 23

1. Hot compresses + antibiotics.
2. Incision and curettage.
3. intra-chalazion corticosteroid therapy.

Question 24

small tender swilling on the eyelid, this probably called____

Answer 24

hordeola or stye

Question 25

what is the different between:
Chalazion
hordeola
stye

Answer 25

internal hordeola = acute chalazion
External hordeolum = stye

Question 26

what is the different between:
internal hordeola
External hordeolum

Answer 26

internal hordeola
Staph. abscess of meibomian glands.

External hordeolum
Staph. abscess of lash follicle and associated gland of Zeis or Moll.

Question 27

eyelid tumors:
3 benign
3 malignant

Answer 27

benign
1. Capillary haemangioma
2. Naevi
3. Port-wine stain

malignant
1. Basal cell carcinoma
2. Squamous cell carcinoma
3. Meibomian gland carcinoma