Lid, Lashes and Lacrimal Disorders

Question 1

Acute, Painful infection of glands of eyelid. Tenderness & erythema localized to one point.
S. auereus
Warm soaks, topical abx

Answer 1

Hordeolum (Stye)

Question 2

• Infx of lacrimal sac d/t congenital or acquired obstruction.
• Unilateral. Pain, swelling, tenderness, redness. Prurlent material
• Systemic Abx

Answer 2

Dacryocystitis

Question 3

• Unresolved hordeolum which becomes a cyst
• Non-tender nodule
• Warm compresses, incision and currettage. Steroid injection

Answer 3

Chalazion

Question 4

• Excessive tearing
• D/T stenosis, dacryoliths, trauma, inflamm,
• Irrigation test, dye disappearance test
• Dacryocystorhinostomy

Answer 4

Lacrimal Duct obstruction

Question 5

-Drooping Lids
-Eye lid disease, horner syndrome
CN III palsy

Answer 5

Ptosis

Question 6

Inward turning of lower lid
Degeneration of lid fascia
Seen with aging
Surgery lashes hit cornea

Answer 6

Entropion

Question 7

Outward turning of lower lid 
Inward turning of lower lid 
Degeneration of lid fascia
Seen with aging
Surgery lashes hit cornea

Answer 7

Ectropion

Question 8

Bilateral inflamm. condition of lid margins
Staph
Eyes Red-rimmed, scales or granulations clining to lashes
Hygeine, Topical Abx

Answer 8

Blepharitis (anterior)

Question 9

• Bilateral inflammatory coniditon of lid margins.
• Inflammation of meibomian glands.
• Lid margins with telangiectasias. Lid margins often rolled in. Tears can be frothy and abnormally greasy.
• Meibomian gland expression. PO Abx

Answer 9

Blepharitis (posterior)