Ophtha Ana, Physio, Skills Lab 1, Lids Ocular Adnexa

Question 1

Thinnest portion of medial orbital wall

Answer 1

Lamina papyracaea

Question 2

Layer of the lid communicates with the subaponeurotic layer of the scalp

Answer 2

Areolar tissue

Question 3

Divides the palpebral conjunctive into anterior and posterior margins

Answer 3

Mucocutaneous junction

Question 4

Small modified sebaceous glands opening into hair follicles at base of lashes

Answer 4

Glands of Zeis

Question 5

Principal retractor of the eyelid

Answer 5

Levator palpebras superioris

Question 6

Principal retractor of the lower eyeid during downgaze

Answer 6

Capsulopalpebral fascia

Question 7

Painful, tender focal mounding, sometimes with pustule formation. Presents with mild conjunctival hyperemia.

Answer 7

Hordeolum

Question 8

Inflammation of the ciliary follicles or accessory glands (Zeis or Moll) or anterior eyelid margin

Answer 8

External Hordeolum

Question 9

Meibomian gland opening become plugged by inflammation

Answer 9

Internal Hordeolum

Question 10

Sterile, focal, chronic inflammation of the lid due to Meibomian gland obstruction

Answer 10

Chalazion

Question 11

Does not attach to the Tenon’s fascia

Answer 11

Inferior oblique

Question 12

Granulomatous sterile inspissated secretions of Meibomian glands

Answer 12

Chalazion

Question 13

High clinical margin of suspicion with recurrent chalazion

Answer 13

Sebaceous cell carcinoma

Question 14

Lid inflammation, with difficult lid opening in the morning d/t encrustation

Answer 14

Blepharitis

Question 15

Types of blepharitis (2-3)

Answer 15

1. Staphylococcal
2. Seborrheic
3. Mixed

Question 16

Eye is naturally in optimal focus

Answer 16

Emmetropic

Question 17

Needs corrective lenses to be in proper focus

Answer 17

Ametropic

Question 18

Irritation, burning, and itching or eyes and lid margins presenting with red-rimmed eyes.

Answer 18

Anterior blepharitis

Question 19

Meibomian gland inflammation, presents with frothy or debris filled tears

Answer 19

Posterior blepharitis

Question 20

Problem/structure associated with a failure in simultaneous confrontation testing

Answer 20

Right cerebral hemisphere of the parietal lobe

Question 21

Inward lid margin turning

Answer 21

Entropion

Question 22

Eversion of the lower lid from orbicularis relaxation

Answer 22

Ectropion

Question 23

Marcus-Gunn pupil

Answer 23

Consensual is stronger than direct

Question 24

Incomplete fusion of fetal maxillary processes ➡️ lid margin cleft

Answer 24

Coloboma

Question 25

What is epicanthus

Answer 25

Vertical fold of skin covering a part of the nasal sclera or medial canthus

Question 26

Resembles angioneurotic edema; atrophy of periorbital structures

Answer 26

Blepharochalasis