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PPO 4 > Lids/Lashes/Conj and sclera examination > Flashcards

Lids/Lashes/Conj and sclera examination Flashcards

1
Q

What are the types of illumination techniques used to study the lids, lashes, conj, and sclera

A
  1. Diffuse
  2. Wide beam
  3. Direct - Parallelpiped
  4. Indirect as needed for cysts located on the conj
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2
Q

What are normal lid positions

A
  1. Lids are in apposition to the globe.

2. Epiblepharon; presence of lower lid crease

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3
Q

What are abnormal lid positions

A
  1. Entropian; can be in upper/lower lid/age related/congenital
  2. Ectropian: associated with the lower lid mainly; age related/congenital/acquired
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4
Q

____ is an abnormal eyelid finding where there is excessive skin in the upper lid and is typically age related. It can cause superior visual field loss

A

Dermatochalasis

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5
Q

____ is an abnormal eye finding where there is infiltrates on the eyelid caused by lipid in the dermis. This is associated with )))))

A

Xanthelasma; hyperlipidemia

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6
Q

what are common findings of normal lashes

A
  1. clean, free of debris

2. several rows of lashes along the lid margin

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7
Q

_____ refers to misdirected lashes that turn in toward the cornea

A

trichiasis

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8
Q

______ is dec/loss of lashes. Seen in blepharitis

A

Madarosis

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9
Q

____ refers to inflammation of the eyelid margins.

A

Blepharitis

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10
Q

If a hordeolum (stye) is internal it effects the ____ glands. If external it effects the _____ glands

A

meibomian; zeiss

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11
Q

What refers to clogged glands with red, thickened lid margins.

A

Meibomian glad dysfunction

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12
Q

the ____ the efron grading scale…the more severe the complication is

A

higher

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13
Q

What are follicles?

A

glistening, translucent elevations on the palpebral conjunctiva; associated with VIRAL infections or drug toxicity. Clustering of blister like appearance with avascular centers.

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14
Q

When should you evert the upper lid

A
  1. CL patients prior to CL fitting
  2. Pt with seasonal allergies
  3. Search/locate/remove foreign body
  4. ” “ a lost CL
  5. evaluate internal/external hordeolum
  6. Evaulate GPC in CL wearers
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15
Q

Papillae represent a _____ response. Ch. feature is a single vessel growing in the center of the papillae which cascade down over the edges.

A

vascular

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16
Q

What is papillae associated with

A

allergic reactions; bacterial infections; contact lens related (GPC);best seen on the superior conj

17
Q

What is a concretion

A

calcium build up

18
Q

What are signs and symptoms of GPC

A
  1. deposits on CL’s
  2. Discomfort with CL wear
  3. Itching that is worse when remove CL
  4. Inc movement of CL
19
Q

What are the “types” of injections

A
  1. conjunctival vessels
  2. episcleral vessels
  3. cilliary injection
20
Q

_____ vessels are the most superficial and movable with eyelid friction. _____ vessels are the next layer of vessels and have no movement with blinking.

A

conjunctival; episcleral

21
Q

______ is a benign finding on the conj and is always in the interpalpebral zone. Can get inflamed and red and can increase dry eye symptoms

A

pinguecula

22
Q

____ is a thick, fleshy, triangular mass of tissue enroaching on the _____ cornea, and is stimulated by UV exposure and/arid climate

A

Pterygium; nasal

23
Q

_____ refers to redundant, loose, non edematous conjunctiva which creates conjunctival folds that billow over the lid margin

A

Conjuntivochalasis

24
Q

Conjuntivochalasis contributes to the pathogenesis of ____ eye, causing unstable tear film by creating delayed tear clearance

A

dry

25
Q

____ refers to brown discoloration of the conj

A

nevus; melanosis

26
Q

what are etiologies of a sub conj hemorrhage

A
  1. idiopathic
  2. result from vaso vagal
  3. result from blood thinners
27
Q

The loop of axeneld on the conj refers to which nerve that pierces the sclera?

A

posterior ciliary nerve; always a distance from the limbus.

28
Q

What does nevus of ota refer to

A

unilateral proliferation of melanocytes following the distribution of CN V1 and V2.

29
Q

V1 causes bllue pigmentation on the ____. V2 causes blue pigmentation on the ____

A

eye; skin

30
Q

Nevus of ota is actually part of the ____ not the conj

A

sclera

31
Q

This occurs as a benign finding in elderly and is typically bilateral and located nasal and temporal

A

cogans senile plaque

PPO 4 (5 decks)

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