Disease and Conditions of the Eyelids - Dolphens Flashcards Preview

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Flashcards in Disease and Conditions of the Eyelids - Dolphens Deck (16)
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1

Identify this condition and describe the treatment:

furuncle that points onto the conjunctival surface of the lid, examination shows involvement of the meibomian gland

Stye (Internal Hordeolum)

meibomian gland involvement

can be on the upper or lower lid

can lead to generalized cellulitis

tx: warm compresses, topical antibiotics, may need I&D if conservative treatment fails

watch for cellultiis, may lead to a chronic inflammatory lesion

1

Identify this condition and describe the treatment:

pt reports foreign body sensation, burning sensation, lid crust, also has a problem with dandruff exam: no ulcerations

Seborrheic Blepharitis

associated with seborrheic dermatitis invovlement often of scalp, lashes, eyebrows and ears

tx: chronic condition, lid hygiene

3

Identify this condition and describe the treatment:

young infant, parents report excessive tearing

Nasolacrimal Duct Obstruction and Dacryocystitis

may devleop an infection

tx: massage over nasoalcrimal sac, cleanse the lids if infected use topical antibioitcs, may resolve on its own, or surgical treatement - probing of the duct

4

Exposure Keratitis

similar to dry eyes

cause: incomplete lid closure during blinking and sleep  

may result from: Bell's palsy, malpositioned eyelids, thyroid exopthalmos  

tx: lubricating solutions, mechanical measures to help close lid

5

define Blepharospasm:

eyes closed, lid spasms, may also have facial twitches

6

Identify this condition and describe the treatment:

hard, nontender swelling, conjunctiva - red and swollen, chronic granulomatous inflammation

Chalazion

chronic granulomatous inflammation of a meibomian gland

may follow an internal hordeolum

vision may or may not be blurred in addition to the other symptoms listed

tx: warm compresses refer: if persistent, ophthamologist may incise and curettage or corticosteroid injections

6

define Lid Retraction

eye bigger, appears to stare, upper lid pulled up, lower lid pulled down (Grave's Disease)

7

Identify this condition and describe the treatment: 

localized, painful lid swelling, furuncle on the eyelid margin 

STYE  (Acute Hordeloum- External)

usually a staphylocoocal infection

involves lash follicle and gland Zies or Moll

tx: warm moist compresses, topical (or oral) antibiotics, may spontaneously drain or resolve, I&D if conservative treatment fails

8

define Blepharoptosis:

upper lid droop, excess skin

9

Identify this condition and describe the treatment:

exam shows lids are hyperemic with telangiectasis, inflammation of the meibomian glands

Posterior Blepharitis -

inflammation of meibomian glands can be bacterial (staphylococcal) or glandular dysfunction association with acne rosacea

11

define Entropion:

eyelid flipped in, lashes and skin against the eye

12

define Trichiasis:

normal lid position; lashes directed posteriorly

13

define Dermatochalasis

baggy eyelids

14

Identify this condition and describe the treatment:

pt reports foreign body and burning sensations and matting of the lashes exam: lid crusting, red-rims, discharge, some loss of lashes

Staphylococcal Blepharitis

can be intially asymptomatic, may also observe loss of lashes (ulceration) chronic condition

tx: lid hygiene, topical antibiotics for staph

15

define Ectropion:

eyelid flipped out, conjunctiva exposed

16

Identify this condition and describe the treatment: pt reports foreign body sensation, dryness, burning, exam shows lack of corneal and conjuctival luster, punctate erosions, stringy discharge

Dry Eye 

Keratitits Sicca

Keratoconjunctivitis Sicca

deficiency in tear production, symptoms worsen as the condition progresses   may be releated to autoimmune disorder, secondary to systemic drugs

tx: lubrication with artificial tears or ointment (Lacrilube)