from Wills Eye Review

Question 1

In the lower face facial nerve is

Answer 1

deep to SMAS so dissection superficial to the SMAS avoids the facial nerve

Question 2

In the temporal area- facial nerve is

Answer 2

above the SMAS. Dissection along the deep temporalis fascia avoids the facial nerve

Question 3

Corrugator muscle Creates

Answer 3

vertical furrows at the bridge of the nose

Question 4

Procerus muscle

Answer 4

Creates horizontal furrows of the bridge of the nose

Question 5

Lid crease is formed by

Answer 5

levator attachments to skin and pretarsal orbicularis

Question 6

PROTRACTORS of upper lid

Answer 6

Orbicularis

Question 7

encircles the canaliculi and facilitates tear drainage

Answer 7

The deep head (Horner’s tensor tarsi) of the pretarsal orbicularis muscle

Question 8

Forms the lateral canthal tendon

Answer 8

pretarsal orbicularis muscle

Question 9

ORBITAL SEPTUM Arises from

Answer 9

periosteum of the superior and inferior orbital rims

Question 10

Where is ORBITAL FAT

Answer 10

Preaponeurotic orbital fat is directly beneath the septum

Question 11

UPPER LID RETRACTORS

Answer 11

LEVATOR MUSCLE AND APONEUROSIS, SUPERIOR TARSAL MUSCLE - MULLER’S

Question 12

WHITNALL’S LIGAMENT

Answer 12

Condensation of the anterior sheath of the

levator, which serves a suspensory function

Question 13

Forms Lockwood’s suspensory ligament

Answer 13

CAPSULOPALPEBRAL FASCIA

Question 14

CAPSULOPALPEBRAL FASCIA originates from

Answer 14

originates from the inferior rectus muscle.
Forms Lockwood’s suspensory ligament. Fuses with the septum and then inserts onto the inferior border of the tarsus.
Forms inferior fornix

Question 15

Forms inferior fornix

Answer 15

CAPSULOPALPEBRAL FASCIA

Question 16

analogous to Muller’s

Answer 16

INFERIOR TARSAL MUSCLE

Question 17

EYELID MARGIN-length

Answer 17

30 mm

Question 18

Grayline-formed by

Answer 18

muscles of Riolan - anterior to tarsus

Question 19

VASCULAR SUPPLY

Answer 19

1).INTERNAL CAROTID: Ophthalmic artery, the supraorbital, and
lacrimal branches.
2).EXTERNAL CAROTID: FACIAL ARTERIES -Angular and temporal branches.

Question 20

LYMPHATICS

Answer 20

PREAURICULAR: Lateral aspect of both lids and lateral canthus.
SUBMANDIBULAR: Medial aspect of both lids and medial canthus

Question 21

BLEPHAROPHIMOSIS SYNDROME - gene

Answer 21

FOXL2 gene on Chromosome 3

Question 22

BLEPHAROPHIMOSIS SYNDROME - TREATMENT

Answer 22

Multiple Z-plasties
Y-V plasties
Transnasal wiring
2. Correct the ptosis: frontalis sling.

Question 23

CONGENITAL DISTICHIASIS

Answer 23

EXTRA ROW OF LASHES INSTEAD OF MEIBOMIAN GLAND ORIFICES

Question 24

CONGENITAL ECTROPION Caused by

Answer 24

vertical shortage of the anterior lamella of the eyelid

Question 25

CONGENITAL ECTROPION can be associated with

Answer 25

Blepharophimosis, Down’s syndrome, Ichthyosis

Question 26

ANTIMONGOLOID SLANT

Answer 26

EURYBLEPHARON ecause the lateral canthal tendon

is displaced inferiorly

Question 27

CONGENITAL COLOBOMA - which eyelid

Answer 27

An isolated anomaly in the medial upper lid. Colobomas of the lower lid are associated with other anomalies, such as facial clefts and lacrimal deformities

Question 28

CHALAZION - pathology

Answer 28

CHRONIC LIPOGRANULOMATOUS INFLAMMATION

Question 29

HORDEOLUM

Answer 29

Acute infection involving the meibomian glands (internal) or the glands of Zeis (external)

Question 30

Lesions of oil gland origin

Answer 30

SEBACEOUS GLAND HYPERPLASIA, MUIR-TORRE SYNDROME, SEBACEOUS ADENOMA

Question 31

MUIR-TORRE SYNDROME

Answer 31

AD, Multiple sebaceous neoplasm’s, cutaneous lesions and visceral carcinoma