Red Eye and Adnexal Oncology Flashcards
What part of the eye is affected by anterior uveitis?
Iris
What part of the eye is affected by intermediate uveitis?
Ciliary body
Vitreous humour
What part of the eye is affected by posterior uveitis?
Retina
Choroid
Blood vessels
What parts of the eye are affected by panuveitis?
All parts
What are the major causes or uveitis?
Idiopathic
Systemic conditions
Infections
What are the treatments for uveitis?
Treat infection
Topical anti-inflammatories
Systemic steroid
Systemic immunosuppressant
What are the features of pre-septal cellulitis?
Pain, redness, lid selling
Systemically well
Commonly caused by cyst or incest bite
What are the features of orbital cellulitis?
Pain, redness, lid swelling
Systemically unwell
Double vision
Conjunctivitis/chemosis
Commonly caused by sinusitis or dental infections
Give some systemic diseases which can present in the eye
Diabetes Hypertension Autoimmune Inflammatory Infection Haematological Inherited Thyroid Eye Disease
Are eyelid tumours common?
Yes - around 1 in 5 will suffer
What are the most common types of benign eyelid tumour?
Squamous cell papilloma
Basal cell papilloma
What are the most common types of malignant eyelid tumour?
Basal cell carcinoma - 90%
Squamous cell carcinoma - 5%
What are the features of benign squamous cell papilloma?
Pedunculate or sessile (broad-based)
Characteristic ‘raspberry’ feel
Usually viral
What are the features of benign basal cell papilloma?
Greasy, brown, flat, round/oval
Similar texture to squamous papilloma
What are the early signs of malignant melanoma?
Asymmetry Border - irregular Colour - variegated Diameter - more than 6mm Evolving - growing
Concerning of nodular MM
Elevated
Firm to touch
Growing
What are the features of malignant basal cell carcinoma?
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
What is the management for malignant basal cell carcinoma?
Standard excision
Mohs surgery
Non-Surgical - topical, chemo, radiotherapy
What are the features of malignant squamous cell carcinoma?
Sun damaged skin
Scaly surface over thick plaque
Growth over weeks rather than months
Significant metastatic risk
