lid and lacrimal disorders Flashcards
ectropion
outward turning of the lower lid
entropion
inward turning of the lower lid
involutional
lower lid laxity
cicatricial
scarring on the lower lid
paralytic
CN VII palsy
mechanical
mass on lower lid
trx for ento/ect tropion
surgery
lagophthalmos
inability to completely close eyes
ptosis
drooping of the upper eyelid
trx for ptosis?
surgery
blepharitis
scaling of the lid margins proximal to the lashes
blepharitis signs/symptoms
erythema of lid margins, dandruff like deposits, fibrinous scales, toothpaste like secretions out of meibomian glands (chalazion association)
treatment for blepharitis
warm compress, scrub eyelids w/ dilute baby shampoo,
abx for bepharitis w/ meibomian gland dysfunction
doxycline 100 mg po for 6 months
abx for belpharitis w/ staph?
erythromycin
hordeolum
stye, PAINFUL
what is the treatment for hordeolum?
warm compress, lid massage, topical abx/doxycycline, incision and drainage
chalazion
lipogranulomatous inflammation due to meibomian gland obstruction, NOT PAINFUL
treatment for chalazion
warm compress/ triamcinolone injection
dacryocystitis
inflammation of the lacrimal sac
what can dacryocystitis become?
pre-septal cellulitis
what is the treatment for dacryocystitis?
amoxicillin/clavulanate 500 mg every 8 hrs
FEBRILE: hospitalize and IV abx
dacryoadenitis
inflammation of the lacrimal gland
what are the dacryadenitis etiology?
commonly idiopathic, but could be autoimmune (sarcoidosis, sjogren’s syndrome)
