Red Eye and Adnexal Oncology Flashcards

1
Q

What part of the eye is affected by anterior uveitis?

A

Iris

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2
Q

What part of the eye is affected by intermediate uveitis?

A

Ciliary body

Vitreous humour

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3
Q

What part of the eye is affected by posterior uveitis?

A

Retina
Choroid
Blood vessels

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4
Q

What parts of the eye are affected by panuveitis?

A

All parts

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5
Q

What are the major causes or uveitis?

A

Idiopathic
Systemic conditions
Infections

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6
Q

What are the treatments for uveitis?

A

Treat infection
Topical anti-inflammatories
Systemic steroid
Systemic immunosuppressant

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7
Q

What are the features of pre-septal cellulitis?

A

Pain, redness, lid selling
Systemically well
Commonly caused by cyst or incest bite

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8
Q

What are the features of orbital cellulitis?

A

Pain, redness, lid swelling
Systemically unwell
Double vision
Conjunctivitis/chemosis

Commonly caused by sinusitis or dental infections

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9
Q

Give some systemic diseases which can present in the eye

A
Diabetes
Hypertension
Autoimmune
Inflammatory
Infection
Haematological
Inherited
Thyroid Eye Disease
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10
Q

Are eyelid tumours common?

A

Yes - around 1 in 5 will suffer

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11
Q

What are the most common types of benign eyelid tumour?

A

Squamous cell papilloma

Basal cell papilloma

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12
Q

What are the most common types of malignant eyelid tumour?

A

Basal cell carcinoma - 90%

Squamous cell carcinoma - 5%

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13
Q

What are the features of benign squamous cell papilloma?

A

Pedunculate or sessile (broad-based)
Characteristic ‘raspberry’ feel
Usually viral

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14
Q

What are the features of benign basal cell papilloma?

A

Greasy, brown, flat, round/oval

Similar texture to squamous papilloma

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15
Q

What are the early signs of malignant melanoma?

A
Asymmetry
Border - irregular
Colour - variegated
Diameter - more than 6mm
Evolving - growing

Concerning of nodular MM
Elevated
Firm to touch
Growing

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16
Q

What are the features of malignant basal cell carcinoma?

A
Commonest cancer worldwide
Pale skin and sun exposure
70% occur on face
Slow, inexorable growth over months
Usually non-pigmented, elevated, ulcerated
Pearly, rolled, irregular border
Telangiectasia
Non-tender
17
Q

What is the management for malignant basal cell carcinoma?

A

Standard excision
Mohs surgery
Non-Surgical - topical, chemo, radiotherapy

18
Q

What are the features of malignant squamous cell carcinoma?

A

Sun damaged skin
Scaly surface over thick plaque
Growth over weeks rather than months
Significant metastatic risk