Lid Findings

Question 1

Normal lid positions

Answer 1

• Lids are in apposition to the globe

- Epiblephron

Question 2

Abnormal lid positions

Answer 2

• Entropion

- Ectropion

Question 3

Epiblephron

Answer 3

Normal lid position
Extra horizontal row of skin across lid
Presences of lower lid crease
Common in Asians

Question 4

Entropion

Answer 4

Abnormal lid position
Lid turned inward
Either upper or lower lid
Congenital or age-relate

Question 5

Ectropion

Answer 5

Abnormal lid position
Lid turned outward
typically lower lid
Congenital, age-related or acquired.

Question 6

Dermatochalasis

Answer 6

Abnormal lid finding
excessive upper lid skin
presents as pseudoptosis
age-related
can cause superior visual field loss

Question 7

Xanthelasma

Answer 7

Abnormal lid finding
Associated with Hyperlipidemia arcus.
infiltrates of eyelid due to lipid in dermis.

Question 8

Normal Lashes

Answer 8

Clear, free of debris

Several rows of lashes along the lid margin

Question 9

Abnormal Lashes

Answer 9

• Misdirection (Trichiasis)
• Any debris or crusting of lashes
• Madarosis
• Tricholilomania

Question 10

Trichiasis

Answer 10

Abnormal lashes finding

Misdirected lashes; turn in toward cornea (lid is in correct apposition against the globe)