INFECTIONS AND ABNORMALITIES OF THE LIDS

Question 1

Chronic lipogranulomatous inflammatory lesion caused by blockage of gland orifices and stagnation of sebaceous secretions

Answer 1

CHALAZION

Question 2

Infection of the glands of the eyelid

Answer 2

HORDEOLUM

Question 3

2 types of Hordeolum

Answer 3

internal and external

Question 4

small abscess caused by an acute staphylococcal infection of meibomian glands

Answer 4

Internal Hordeolum

Question 5

signs of internal Hordeolum

Answer 5

tender and inflammed swelling within the tarsal plate

Question 6

internal hordeolum treatment

Answer 6

incission and curettage

Question 7

also known as stye

Answer 7

external hordeolum

Question 8

Acute small staphyloccocal abscess of a lash follicle associated with Zeis’ or Moll’s gland

Answer 8

External Hordeolum

Question 9

signs of external hordeolum

Answer 9

1. Tender inflammed swelling in the lid margin which points anteriorly to the skin
2. More than one lesion may be present
3. May cause pre septal cellulitis

Question 10

Painless round, firm nodule in the tarsal plate

Answer 10

chalazion

Question 11

treatment for chalazion

Answer 11

surgery

Question 12

• Very common condition

* Usually bilateral and symmetrical

Answer 12

CHRONIC MARGINAL BLEPHARITIS

Question 13

2 Main types of CHRONIC MARGINAL BLEPHARITIS

Answer 13

• Staphyloccocal anterior blepharitis

* Seborrheic anterior blepharitis

Question 14

Chronic infection at the base of the lashes resulting to tiny intrafollicular abscesses

Answer 14

Staphylococcal Anterior Blepharitis

Question 15

• More common in females
• staphyloccus aureus –ulcerative
• Staphylococcus epidermidis

Answer 15

Staphylococcal Anterior Blepharitis

Question 16

6 complications of staphylococcal

Blepharitis

Answer 16

A.	Trichiasis
B.	Madarosis
C.	Poliosis
D.	Recurrent styes
E.	Marginal Keratinitis
F.	Tear fil instability

Question 17

Nonulcerative disorder of the glands of Zeis and Moll frequently associated with seborrheic dermatitis

Answer 17

Seborrheic anterior Blepharitis

Question 18

2 main forms of seborrheic anterior blepharitis

Answer 18

• Oily type – greasy scales

* Dry type - dandruff

Question 19

No ulcerations. Lid margins are less red, lashes are stuck together.

Answer 19

Seborrheic anterior Blepharitis

Question 20

ulcerated areas on margins

Answer 20

Staphylococcal Anterior Blepharitis

Question 21

• Bilateral chronic condition

Answer 21

POSTERIOR BLEPHARITIS

Question 22

• Hyperemic and telangiectatic glands
• Lid margins are rounded and rolled inward
• Frothy or greasy tears

Answer 22

POSTERIOR BLEPHARITIS

Question 23

TREATMENT OF CHRONIC BLEPHARITIS

Answer 23

 Lid hygiene - with 25% baby shampoo
 Tear substitutes - for associated tear film instability
 Systemic tetracyclines - for severe Posterior Blepharitis
 Warm compresses - to melt solidified sebum in posterior blepharitis

Question 24

• Inflammation of eyelids secondary to dysfunction of the meibomian glands

Answer 24

POSTERIOR BLEPHARITIS

Question 25

• Associated with meibomianitis (orifices) with soft cheesy secretion upon pressure over the glands

Answer 25

POSTERIOR BLEPHARITIS

Question 26

• May be associated with hordeola, chalazia, epithelial keratitis, poliosis (white lashes)

Answer 26

Staphylococcal Anterior Blepharitis

Question 27

• Hyperemia, telangiectasis
• Tiny ulcerated areas on margins
• Lashes tend to fall out (madarosis)

Answer 27

Staphylococcal Anterior Blepharitis

Question 28

• Dry, hard and brittle scales around the bases of the lashes (collarettes)

Answer 28

Staphylococcal Anterior Blepharitis

Question 29

Symptoms of chronic marginal blepharitis

Answer 29

burning, grittiness, mild photophobia & redness of the eyelids