Red Eye and Adnexal Oncology Flashcards
What is uveitis?
Inflammation in the eye
What are the causes of uveitis?
Idiopathic
Associated with systemic disease
Infection
Masquerade
What systemic diseases can uveitis be associated with?
Ankylosing spondylitis Behcet's disease Sarcoidosis Wegener's System lupus erythematosis
What infections can cause uveitis?
TB Syphilis Toxoplasma Herpes simplex Lyme's disease CMV
What can uveitis masquerade?
Intraocular lymphoma
Leukaemia
What is the treatment for uveitis?
Treat underlying infection
Topical anti-inflammatories
Systemic steroid
Systemic immunosuppressants
What are the symptoms of acute angle closure glaucoma?
Severe pain
Vomiting
Fixed, dilated pupil
What are the signs of acute angle closure glaucoma?
Mid dilated pupil non responsive to light
Hard eye
What are the features of preseptal cellulitis?
Pain
Redness
Lid swelling
What are the common causes for preseptal cellulitis?
Lid cyst
Insect bite
What are the features of orbital cellulitis?
Pain, redness, lid swelling Systemically unwell Double vision/limitation in EOEM Conjunctivitis/chemosis Exophthalmos Blurred vision
What are the common causes for orbital cellulitis?
Sinusitis
Dental infections
Haematological spread
What (types of) systemic diseases can have ophthalmic presentations?
Diabetes Hypertension Autoimmune Inflammatory Infection Haematological Inherited/genetic
What are some autoimmune systemic diseases that have opthalmic presentations?
Rheumatoid arthritis Myasthenia gravis Sjogren's syndrome SLE Grave's disease
What are some inflammatory diseases with ophthalmic presentations?
Ankylosing spondylitis
Crohn’s disease
Juvenile idiopathic arthritis
Sarcoidosis
What are some inherited/genetic conditions with opthalmic presentations?
Albinism Ehler's -Danlos Marfan's Myotonic dystrophy Neurofibromatosis
What are types of adnexal oncology?
Eyelid tumours
Lacrimal drainage tumours
Orbital tumours
What types of benign eyelid tumours?
Squamous cell papilloma Basal cell papilloma Melanocytic naevus Actinic keratosis Pyogenic granuloma Keratocanthoma Capillary haemangioma Cavernous haemangioma
What are types of malignant eyelid tumours?
Basal cell carcinoma Squamous cell carcinoma Sebaceous gland carcinoma Melanoma Kaposi sarcoma Merkel cell carcinoma
What are the clinical subtypes of basal cell carcinoma of the eyelid?
Nodular
Ulcerative
Morpheaform
What are suggestive features of basal cell carcinoma of the eyelid?
Slow, inexorable growth over months Usually non-pigmented, elevated, ulcerated Pearly, rolled, irregular border Telangiectasia Lack of tenderness
What is the management of basal cell carcinoma of the eyelid?
Standard excision - margin, primary vs delayed closure, Moh's surgery Topical treatment Chemotherapy Cryotherapy Radiotherapy Photodynamic therapy
What is the sign of squamous cell carcinoma of the eyelid?
Scaly surface over a thick plaque
Growth over weeks rather than months
What is the treatment of squamous cell carcinoma of the eyelid?
Excision
