Lids/Lashes/Conj and sclera examination Flashcards
What are the types of illumination techniques used to study the lids, lashes, conj, and sclera
- Diffuse
- Wide beam
- Direct - Parallelpiped
- Indirect as needed for cysts located on the conj
What are normal lid positions
- Lids are in apposition to the globe.
2. Epiblepharon; presence of lower lid crease
What are abnormal lid positions
- Entropian; can be in upper/lower lid/age related/congenital
- Ectropian: associated with the lower lid mainly; age related/congenital/acquired
____ 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
Dermatochalasis
____ is an abnormal eye finding where there is infiltrates on the eyelid caused by lipid in the dermis. This is associated with )))))
Xanthelasma; hyperlipidemia
what are common findings of normal lashes
- clean, free of debris
2. several rows of lashes along the lid margin
_____ refers to misdirected lashes that turn in toward the cornea
trichiasis
______ is dec/loss of lashes. Seen in blepharitis
Madarosis
____ refers to inflammation of the eyelid margins.
Blepharitis
If a hordeolum (stye) is internal it effects the ____ glands. If external it effects the _____ glands
meibomian; zeiss
What refers to clogged glands with red, thickened lid margins.
Meibomian glad dysfunction
the ____ the efron grading scale…the more severe the complication is
higher
What are follicles?
glistening, translucent elevations on the palpebral conjunctiva; associated with VIRAL infections or drug toxicity. Clustering of blister like appearance with avascular centers.
When should you evert the upper lid
- CL patients prior to CL fitting
- Pt with seasonal allergies
- Search/locate/remove foreign body
- ” “ a lost CL
- evaluate internal/external hordeolum
- Evaulate GPC in CL wearers
Papillae represent a _____ response. Ch. feature is a single vessel growing in the center of the papillae which cascade down over the edges.
vascular
What is papillae associated with
allergic reactions; bacterial infections; contact lens related (GPC);best seen on the superior conj
What is a concretion
calcium build up
What are signs and symptoms of GPC
- deposits on CL’s
- Discomfort with CL wear
- Itching that is worse when remove CL
- Inc movement of CL
What are the “types” of injections
- conjunctival vessels
- episcleral vessels
- cilliary injection
_____ vessels are the most superficial and movable with eyelid friction. _____ vessels are the next layer of vessels and have no movement with blinking.
conjunctival; episcleral
______ 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
pinguecula
____ is a thick, fleshy, triangular mass of tissue enroaching on the _____ cornea, and is stimulated by UV exposure and/arid climate
Pterygium; nasal
_____ refers to redundant, loose, non edematous conjunctiva which creates conjunctival folds that billow over the lid margin
Conjuntivochalasis
Conjuntivochalasis contributes to the pathogenesis of ____ eye, causing unstable tear film by creating delayed tear clearance
dry
