Yumori Eyelids Flashcards
Eyelid Ptosis
downward sagging of upper lid lashes iodiopthic due to floppy eyelid syndrome dermtochlsis long standing facil palsy
Trichomegaly
excessive eyelash growth
Due to: Drug-induced – topical prostaglandin analogues, phenytoin and ciclosporin
Malnutrition
AIDS
Porphyria
Hypothyroidism
Familial
Congenital: Oliver–McFarlane, Cornelia de Lange,
Goldstein–Hutt, Hermansky–Pudlak syndromes
Madarosis
loss of lashes
Causes of madarosis
1. Local Chronic anterior lid margin disease Infiltrating lid tumours Burns Radiotherapy or cryotherapy of lid tumours 2. Skin disorders :Generalized alopecia, Psoriasis 3. Systemic diseases Myxoedema Systemic lupus erythematosus Acquired syphilis Lepromatous leprosy 4. Following removal Procedures for trichiasis Trichotillomania – psychiatric disorder of hair removal
Poliosis
whitening of hair my involve lashes nd eyebrows
Causes of poliosis
1. Ocular Chronic anterior blepharitis Sympathetic ophthalmitis Idiopathic uveitis 2. Systemic Vogt–Koyanagi–Harada syndrome Waardenburg syndrome Vitiligo Marfan syndrome Tuberous sclerosis
Acute allergic oedema
caused by insect bites or pollen
sudden onset bilterl boggy periocular periodema
often with chemosis
Treatment acute allergic oedema
often unnecessary
sometimes systemic antihistamines
Contact Dermatitis
inflammatory response follows exposure to medication cosmetics, or metals
irritant can also cause non allergic toxic dermatitis
type 4 hypersensitivity
Signs of Contact Derm.
oedma swelling tightness scaling angular fissuring possible: redness, chemosis , papillary conjunctivitis itching watery eyes
Treatment of contact derm
not coming in contact with irritant cold compress topical steroid oral antihistamine perservatve artificl tears
atopic dermatitis
ecema idiopathic condition pts suffer from asthma & hay fever thickening crusting fissuring of lids staphylococcal blepharitis, vernal or atopic keratoconjunctivitis
atopy atopic dermatitis
Herpetic blepharitis and keratocon- junctivitis is more common and more severe in patients with atopy (eczema herpeticum)
treatment of atopic term
emollients to hydrate skin
mild topical steroid (hydrocortisone)
uncommon signs associ. with atopic derm.
cataract
retinal detachment
keratoconus
external hordeolum
acute staph abcess of lash follicle assoc. with gland of eis
well defined subcutaneous eyelid nodule
Internal: meibomim glands
external hordeolum common in?
children nd young adults
treatment for external hordeolum?
topical & oral antibiotics (bacitracin/ erhromycin)
hot compress & lid massage 3x
epilation of lash
if left untreated it cn result in bcterial conjunctivitis/ presceptal cellulitis, chlion
Impetigo
skin infection caused by staph aur & staph pyogenes
affects children
highly contagious
Signs of impetigo
painful erythematous macules rapidly develop int thin walled blisters (golden yellow crusts)
may be fever, malaise, nd lymphdenopathy
Treatment impetigo
topical sometimes oral antibiotics (beta- lactamase
preventative measures for trsmisiion since it is highly contagious
Erysipelas
St. anthony's fire severe dermal uncommon caused by staph pyogrnes Diabetes, obesity, alcohol abusers presdisopers inflamed erythematous plaue develops distinguished by raised border
Treatment Erysipelas
oral antibiotics
Necrotizing fasciitis
very severe infection involving subcutaneous soft tissue and the skin,
caused by S. pyogenes and occasionally S. aureus
most frequent sites of involvement are the extremities, trunk and perineum, as well as postoperative wound sites.
Periocular infection is rare; redness and oedema are followed by the formation of large bullae and black discoloration of the skin due to necrosis
