Lids/Lashes Disorders

Question 1

Red, swollen, greasy eye lids with flaky deposits and fibrinous scales on lashes

Answer 1

Blepharitis

Question 2

Blepharitis TX

Answer 2

Polymixin B
Warm compresses
Eyelid hygiene

Question 3

Common cause of belpharitis

Answer 3

Staph infection

Question 4

Tender, red nodule/pustule on skin surface of eyelid

Answer 4

Hordeolum

Question 5

Hordeolum TX

Answer 5

Warm compresses
Topical ABX drops

Question 6

What causes hordeolum?

Answer 6

Staph infection of sebaceous gland

Question 7

Grey discoloration of the conjunctiva, firm, well-demarcated nodule just below the lid margin

Answer 7

Chalazion

Question 8

What gland is affected in a chalazion?

Answer 8

Meibomian gland

Question 9

Early stage chalazion TX

Answer 9

Warm compresses

Question 10

Intermediate + Late stage chalazion TX

Answer 10

Triamcinolone injection
Surgery

Question 11

Vesicular eruption on the lids/lid margins that progresses to ulcerative lesion

Answer 11

HSV eyelids

Question 12

HSV eyelids TX

Answer 12

Hand-washing + topical antiviral
Maybe ABX to prevent secondary infection

Question 13

Inversion of the eyelid, lower lid laxity, irritation, burning

Answer 13

Entropion

Question 14

Eversion of the eyelid, CN7 palsy, visible space between globe and lid, tearing

Answer 14

Ectropion

Question 15

Entropion/Ectropion TX

Answer 15

Surgical correction

Question 16

Drooping of upper eyelid, obstructed superior visual field, Horner’s Syndrome, CN3 palsy

Answer 16

Ptosis

Question 17

Bilateral yellowish deposits around medial/upper eyelids, px has elevated cholesterol

Answer 17

Xanthelasma

Question 18

Xanthelasma TX

Answer 18

TX not necessary
Cosmetic surgery

Question 19

What is blepharospasm?

Answer 19

Eyelid twitching

Question 20

What causes blepharospasm?

Answer 20

Stress
Caffeine
Irritation of conjunctiva or cornea