PATO PALPEBRAL Flashcards

1
Q

que es?

A

parpado caido

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2
Q

evaluar

A

demostrar ptosis (9-mm abertura)
Funcion del MEP (14-15mm de ele)
surco palpebral sup
fenomeno de bell (px con paralisis facial)
M. muller: fenilefrina

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3
Q

TIPOS de ptosis

A

congenita
miogenica
aponeuroica
neurogenica
mecanica

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4
Q

PTOSIS CONGENITA

A

alt primaria del MEP
25%bilat
unilat ambliopizante
compensa con la ceja
Marcus-Gunn

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5
Q

PTOSIS MIOGENICA

A

miastenia gravis
varía x fatiga
manejo multidisc

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6
Q

PTOSIS APONEUROTICA

A

senil
traumas
inflamación
recurrente
TX: resección de elevadores del párpado

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7
Q

PTOSIS NEUROGENICA

A

paralisis del III
sx de horner: miosis, ptosis, anhidrosis

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8
Q

PTOSIS MECANICA

A

lesion
tumor
inflamación

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9
Q

PTOSIS CONG

A

QUITAR CAUSA

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10
Q

TRIQUIASIS

A

mal direcicón de pestañas
arriba 100-150
abajo 70-80

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11
Q

CAUSAS TRIQUIASIS

A

infección; tracoma
inflamatoria: blefaritis
tx: qx, quemadura
Inmunológico: PMM, SJ (steven johnson)

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12
Q

TRIQUIASIS TX

A

remover con pinxas
electrolisis
cirocirugia
ablación con laser
QX

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13
Q

EXTROPION

A

eversión del borde libre o posición anómala del párpado hacia afuera

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14
Q

CAUSAS EXTROPION

A

congenito
involutivo
cicatricial
paralitico
mecanico

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15
Q

EVALUACION EXTROPIONN

A

laxitud palpebral inferior: SNAP BACK TEST <6mm y regresa

insuficiencia de retractores: ausencia de pliegue inferior

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16
Q

MANEJO EXTROPION

A

lubricados
suturas quicktert
reinsercion de retractores
tira tarsal

17
Q

ENTROPION

A

inversion del borde libre del parpado hacia adentro

18
Q

tipos entropion

A

involutivo
espastico: paralisis
cicatricial
congenito

19
Q

simblefaron

A

cicatrización y fibrosis

20
Q

anquloblefaro

A

recubre toda cornea

21
Q

PATO SIST LAGRIMAL

A

secretor: orbitaria y palpebra
excretor

22
Q

SECRETORES

A

dacrioadenitis
dacrioestenosis
dacriocistitis

23
Q

DACRIOADENITIS

A

inflamación de glandula lagrimal principal

inf: ab y aine
autoinm: esteroide sist

dx d: tumor epitelial

24
Q

DACRIOCISTITIS

A

inflación del saco lagrimal por obstrucción baja del conducto nasolagrimal

25
Q

TX DACRIOCISTITIS

A

clinda
amoxi
aine sist
celulitis: AB sist

26
Q

EXCRETORES:

A

dacriocele
canaliculitis
agenesia de la via lagrimal