MISCELLANEOUS ACQUIRED DISORDERS

Question 1

Varix - characteristics

Answer 1

common, dark red or purple subcutaneous compressible (unless thrombosed) lesion, which in some cases becomes apparent only with a Valsalva manoeuvre

Question 2

Floppy eyelid syndrome - characteristics

Answer 2

excess loose upper lid skin. The tarsal plate has a rubbery consistency • Papillary conjunctivitis • Keratopathy • may eyelash ptosis, lacrimal gland prolapse, ectropion and aponeurotic ptosis. higher prevalence of glaucoma

Question 3

Floppy eyelid syndrome - treatment

Answer 3

Moderate to severe cases require horizontal shortening; a pentagonal excision of 10 mm or more is taken from the junction of the lateral third and medial two-thirds of the upper lid

Question 4

Blepharochalasis - definition

Answer 4

recurrent episodes of painless, non-pitting oedema (obrzęk nie tworzący dołków przy ucisku) of both upper lids which usually resolves spontaneously after a few days

Question 5

Blepharochalasis - sequelae

Answer 5

severe cases may give rise to stretching of the canthal tendons and levator aponeurosis resulting in ptosis, and lacrimal gland prolapse may occur. A hypertrophic form with orbital fat herniation and an atrophic form with absorption of orbital fat have been described