Lid lumps

Question 1

What is the difference between internal and external hordeola and what are they?

Answer 1

Both are abcesses or infection. Internal hordeola 'point' inwards towards the conjunctiva, they are caused by blockage of the meiboian glands.
External hordeola (stye) 'point' outwards and are typically in eyelash follicles. They are commonly caused by staph infections. They are caused by blockage of the glands of moll (sweat) and zeis (sebum)

Question 2

How are hordeola internal and external treated?

Answer 2

They should use a hot compress for 5-10 mins several times a day.
For external the eyelash can be removed in bad cases

Question 3

What is the difference between entropion and ectropion?

Answer 3

entropion is an in turning of the eyelid and ectropion is an out turning. This typically occurs with age, surgical correction is typically done

Question 4

What are the commonest benign lid lump?

Answer 4

Papillomata, they can be related to HPV infection and are the result of squamous metaplasia

Question 5

How does basal cell carcinoma typically appear?

Answer 5

Painless shiny, pearly nodule with a rolled border

Question 6

What is the normal treatment for basal cell carcinoma?

Answer 6

They very rarely metastasise but cause a large amount of local invasion so they are removed by wide local excision

Question 7

How does squamous cell carcinoma appear?

Answer 7

Has varying appearances of plaques or nodules with varying degrees of scale

Question 8

How does squamous cell carcinoma of the eyelid typically metasticise?

Answer 8

lymphatic or perineural