Orbit-Lids-Lacrimal

Question 1

Punctum

Answer 1

Location: Upper Lid, Lower Lid, Upper & Lower Lids

Modifiers: Plug Absent, Closed w/plug, Obliterated, Elongated, Stenotic, Everted, W/Ectropion, Inflamed, Irregular, Ectropic, W/Accessory Punctum, Septate, Multiple Puncta, Large

Severity: Patent/no stenosis, Mild Stenosis, Moderate Stenosis, Severe Stenosis, Closed, Cauterized

Question 2

TRICHIASIS

Answer 2

Location: Upper Lid, Lower Lid, Upper & Lower Lids

Modifiers: One Misdirected Lash, A Few Misdirected Lashes, Multiple Misdirected Lashes

Question 3

HORDEOLUM -EXTERNAL

HORDEOLUM -INTERNAL

Answer 3

Location: Central lower lid, central upper lid, lateral lower lid, lateral upper lid, medial lower lid, medial upper lid, upper and lower lids.

Severity: small, large, moderate size?

Modifiers: Acute, chronic appearing, resolving, nontender, tender

Question 4

DERMATOCHALASIS

Answer 4

Location: upper lid, lower lid, upper and lower lids.

Severity: Mild, moderate, severe

Modifiers: excess skin, involutional, temporal hooding, visually significant, with mechanical ptosis, with superior fat pad prolapse, with inferior fat pad prolapse, no fat pad prolapse, with hooding

Question 5

Floppy lid syndrome

Answer 5

Location: upper lid, lower lid, upper and lower lids

Severity: mild, moderate, severe

Modifier: constant, frequent, good orbicularis strength, occasional, weak orbicularis

Question 6

Ankyloblepharon

Answer 6

Upper, lower, temporal, nasal, inferior, superior

Question 7

Lid notching

Answer 7

Lower lid, upper lid

Question 8

Retraction

Answer 8

Location: upper lid, lower lid, upper and lower lids

Severity: 1 MM Below limbus, at limbus, 1 MM above limbus, 2 MM above limbus, 3MM above limbus, 4 MM above limbus, 5MM above limbus

Modifiers: Variable, fluctuating, In primary gaze, and down gaze

Question 9

Sensation

Answer 9

Location: V1, V2, V3

Severity: normal, reduced, markedly reduced, anesthetic

Question 10

Inflammation

Answer 10

Location: upper lid, lower lid, upper and lower lids

Severity: mild, moderate, severe

Modifiers: Crusting, erythema, Nurodermatitis, scaling, Swollen, thickened

Question 11

Facial weakness

Answer 11

Location: forehead, mid face, lower face, entire face

Severity: mild, moderate, severe

Modifiers: with synkinesis, with aberrant regeneration, no synkinesis, no aberrant regeneration

Question 12

Thinned Margins

Answer 12

Glands posteriorly displaced

Turbid secretions

Scurf

Thinned margins

Telangiectasia

Lid Laxity

Zoster Dermatitis

Erythema

Hooding

Question 13

Prosthesis

Answer 13

Prosthesis

Question 14

Blepharitis

Insipissated Meibobian Glands

Telangiectasia

Answer 14

Blepharitis (Modifiers: mild, trace, moderate, severe, 1+, 2+, 3+, 4+, Telangiectasia, scurf, lid notching, rosacea, turbid secretions) Grade: 1 plus, 2+, 3+, 4+, lower lid, upper lid

Insipissated Meibobian Glands (Expression: not easily expressed, easily expressed)

Telangiectasia (1+,2+,3+,4+:improved)

Question 15

Caruncle

Tattoo Liner

Answer 15

Caruncle (Protruding, nasal, nevus)

Tattoo Liner (upper lid, lower lid, faded)

Question 16

Chalazion

Answer 16

Right lower lid, right upper lid, left lower lid, left upper lid

Recurrent, resolved, resolving, history of

Question 17

Cyst

Ectropion

Entropion

Answer 17

Cyst : Upper lid, lower lid, inclusion

Ectropion : Nasally, Temporally

Entropion : Right lower lid, left lower lid

Question 18

Lagophthalmos

Answer 18

.5mm, 1mm, 1.5mm, 2mm, 2.5mm, 3mm, 3.5mm, 4mm

Question 19

Lashes

Answer 19

TRICHIASIS (Lid: upper lid, lower lid; Lashes: 1 misdirected lash, few misdirected lashes)

Hypertrichosis (upper lid, lower lid)

Lash Loss (upper lid, lower lid)

Question 20

Meibomian Gland Dysfunction

Answer 20

Easily expressed, not easily expressed, mild, moderate, severe, posterior gland displacement, thinned margins, insipissated glands, thickened lid margins, turbid secretions

Right lower lid, right upper lid, left lower lid, left upper lid

Question 21

Nevus

Papilloma

Proptosis

Pseudoptosis

Ptosis

Answer 21

Nevus: upper lid, lower lid, flat, elevated

Papilloma: (upper lid, lower lid, central, medial, flat, raised, few, lateral canthus, medial canthus, squamous)

Pseudoptosis: (upper lid, with overhang, mild, moderate, severe, with hooding)

Ptosis: (upper lid, lower lid)

Question 22

Punctum

Dacryocystitis

Nasal lacrimal duct obstruction

Answer 22

Punctum (lower lid, upper lid, plug present, plug Absent, Patent, stenotic, scarred closed, open, cauterized, dacryocystitis)

Dacryocystitis (lower lid, upper lid, purulent discharge, clear discharge, history of, resolved, active, resolving)

Nasal lacrimal duct obstruction (lower lid, upper lid)