Lecture 4 - Lids, Lashes, and Lid Eversion

Question 1

Entropion is _______ of the eyelid margin towards the globe. Can occur in either upper or lower lid. It can be either age related or congenital.

Answer 1

inversion

Question 2

Ectropion is _______ of the lid margin from its normal position. Generally associated with lower lid and is either age-related, congenital, or acquired conditions.

Answer 2

eversion

Question 3

Epiblephron is an extra horizontal row of skin across lid margin. There is a presence of a lower lid crease. Very common, especially in _____.

Answer 3

asians

Question 4

“Misdirected lashes” or lashes that turn in toward the cornea

Answer 4

trichiasis

Question 5

Excessive upper-lid skin; typically age related

Answer 5

dermatochalasis

Question 6

This is associated with hyperlipidemia and it is when there are infiltrates of the eyelid by lipid in the dermis.

Answer 6

xanthelasma

Question 7

Loss of eyelashses

Answer 7

madarosis

Question 8

A condition that causes people to pull out their hair and/or eyebrows/eyelashses

Answer 8

trichotillomania

Question 9

Lids: inflammation of the eyelid margin.
Anterior: skin/lashes
Posterior: Meibomian gland involvement

Answer 9

Blepharitis

Question 10

An infected and inflamed Meibomian gland (internal), Zeiss or Moll glands (external).

Answer 10

Hordeolum “stye”

Question 11

Clogged glands, red, thickened lid margins and/or capped glands (cheesy/toothpaste situation).

Answer 11

MGD; Meibomian Gland Dysfunction

Question 12

Upper Lid eversion procedure.
Angle?
Beam?

Answer 12

Wide beam parallelepiped

20-30’ angle

Question 13

Conjunctiva scan set-up
Mag?
width/height?
illumination?
filter?
Angle?

Answer 13

10x mag
wide and tall beam
medium illumination with polaroid filter
30’

Question 14

What do you call a posterior colliery nerve piercing the sclera? It’s always a distance from the limbus.

Answer 14

Axenfeld’s Nerve Loop