More Lid Stuff

Question 1

Plexiform Neurofibroma of Eyelid

Answer 1

benign lesion of Schwann cells
S shaped lid and droops laterally
nerves tortuously expand and branch, feels like a “bag of worms”

Question 2

Plexiform Neurofibromas normally occur in…..

Answer 2

neurofibramatosis type 1

Question 3

Eyelid Varix

Answer 3

abnormally dilated veins
accentuated by straining or bending over
often in chronic alcoholics
benign, removed mainly for cosmesis

Question 4

Floppy Eyelid Syndrome

Answer 4

eyelids so relaxed they evert in sleep

Question 5

Conditions causing Floppy Eyelid Syndrome

Answer 5

obesity

obstructive sleep apnea

Question 6

Treating Floppy Eyelid Syndrome

Answer 6

tape down, lubrication, lid shields
treat systemic
surgery

Question 7

Blepharochalasis

Answer 7

lids look dry and wrinkly
can cause pseudo-ptosis
in younger patients- can outgrow episodes of swelling
underlying atrophy

Question 8

Treating Blepharochalasis

Answer 8

surgery for improving cosmesis or function

Question 9

Telecanthus

Answer 9

eyelid margins farther apart but PD is normal

wide bridge, small epicanthal fold

Question 10

Cause of Telecanthis

Answer 10

elongated medial canthal ligament

Question 11

Eyelid Coloboma

Answer 11

part of eyelid never developed and is missing

Question 12

Treating Eyelid Coloboma

Answer 12

lubricants, surgery

Question 13

Epiblepharon

Answer 13

extra fold of skin flips lid margin in
can be flipped back out (ectropian cannot)
lashes can cause scratching