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Ocular Disease - Lids > Lid Trauma, Cysts and Benign Tumors > Flashcards

Lid Trauma, Cysts and Benign Tumors Flashcards

1
Q

Describe Contusion (ecchymosis)

A
  • “black eye”
  • hemorrhage can cause IOP spike that is sight threatening.
    Tx: Surgical care
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2
Q

Describe Burns (thermal and chemical)

A

Thermal: edema can increase IOP, use supportive Tx. If 3rd degree then consult.
Chemical: immediate profuse irrigation
alkali - greater disruption due to capillary closure
Tx: Immediate irrigation until pH normal x2 then give antibiotics and cycloplegia

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3
Q

Describe treatment for adhesion (i.e. crazy glue)

A
  • mineral oil soak followed by pressure patch and forceps removal.
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4
Q

Describe Molluscum contagiosum

A
  • Viral Skin infection
  • Sign: Yellowish nodules and multiple comcurrent follicular conjunctivitis and SPK
    Tx: excision followed by cautery
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5
Q

You have a patient that presents with yellowish nodules. Your SLE reveals multiple concurrent follicular conjunctivitis and SPK. What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris or plana
A

A. Molluscum Contagiosum

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6
Q

What is the treatment for Molluscum contagiosum?

A. Excision followed by cautery
B. Excision for cosmesis
C. Biopsy with cryo.
D. Lancing (if superficial) or excision (subcutaneous)
E. Chemical cautery
A

A. Excision followed by cautery

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7
Q

Describe Xanthelasma

A
  • plaque (lipid lesions) occuring in middle aged patients

- associated with hyperlipidemia in younger patients

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8
Q

You have a patient that presents with lipid lesions (plaque). Patient has a history of hyperlipidemia What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris or plana
A

B. Xanthelasma

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9
Q

What is the treatment for Xanthelasma?

A. Excision followed by cautery
B. Excision for cosmesis
C. Biopsy with cryo.
D. Lancing (if superficial) or excision (subcutaneous)
E. Chemical cautery
A

B. Excision for cosmesis

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10
Q

Describe Keratoses (Seborrheic, actinic_

A
  • Seborrheic (papilloma) - well-demarcated lesions with irregular surface. dark in color
    Actinic - precancerous skin lesion, elderly patients with h/o UV exposure
  • reddish scaly lesions seen on tips of ears
    Tx: biospy with cryo.
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11
Q

You have an elderly patient that presents with pre-cancerous skin lesions and reddish scaly lesions seen on tips of the ears. Patient has a history of UV exposure. What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris or plana
A

C. Actinic Keratoses

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12
Q

What is the treatment for Actinic Keratoses?

A. Excision followed by cautery
B. Excision for cosmesis
C. Biopsy with cryo.
D. Lancing (if superficial) or excision (subcutaneous)
E. Chemical cautery
A

C. Biopsy with cryo.

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13
Q

Describe Sudoriferous cyst

A
  • clear round nodules form from gland of moll
  • asymptomatic but can lead to trichiasis and irritation
    Tx: excision - lancing can increase reccurance
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14
Q

You have an elderly patient that presents with clear round nodules around their gland of Moll. Patient doesn’t report any symptoms but complains of irritation. What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris or plana
A

D. Sudoriferous Cyst

Note: Tx: is excision

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15
Q

Describe Sebaceous Cyst

A
  • occurs from hair follicles or sebaceous glands
  • white to creme color
  • asymptomatic
    Tx: superficial - lance, subcutaneous - excise
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16
Q

You have an patient that presents with creme colored cysts around their sebaceous glands and hair follicles. Patient doesn’t report any symptoms. What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris or plana
A

E. Sebaceous Cyst

17
Q

What is the treatment for Sebaceous cyst?

A. Excision followed by cautery
B. Excision for cosmesis
C. Biopsy with cryo.
D. Lancing (if superficial) or excision (subcutaneous)
E. Chemical cautery
A

D. Lancing (if superficial) or excision (subcutaneous)

18
Q

Describe Verrucae Vulgaris or plana

A
  • HPV viral wart
  • most common benign tumor of lid
  • vulgaris - clustered on a stalk
  • plana - flat appearance
  • unpigmented, papilloma’s are pigmented
    Tx: chemical cautery. release of virus can lead to conjunctivitis (DO NOT LANCE)
19
Q

You have an patient that presents with a clustered benign tumor on the lids. What is the diagnosis?

A. Molluscum Contagiosum
B. Xanthelasma
C. Actinic Keratoses
D. Sudoriferous Cyst
E. Sebaceous Cyst
F. Verrucae Vulgaris
A

F. Verrucae Vulgaris

20
Q

What is the treatment for Verrucae Vulgaris/plana?

A. Excision followed by cautery
B. Excision for cosmesis
C. Biopsy with cryo.
D. Lancing (if superficial) or excision (subcutaneous)
E. Chemical cautery
A

E. Chemical cautery

Ocular Disease - Lids (9 decks)

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