Diseases Of Eyelid Flashcards

1
Q

Define ankyloblepharon

A

Adhesion of upper and lower eyelid margin

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2
Q

Blepharoptosis define

A

Dropping of upper eyelid

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3
Q

Distichiasis define

A

Formation of extra row of eyelashes

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4
Q

Trichiasis

A

Eyelash inward touching cornea/ conjunctiva.

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5
Q

Euryblepharon define

A

Enlarged palpebral aperature
Shortening of vertical and lengthening of horizontal aperture of eyelid.

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6
Q

Madarosis

Tylosis

A

Loss of eyelash

Hypertrophy of lid margins
Consequent dropping

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7
Q

Entropion Vs extropion

A

Inward turning of eyelid
Outward turning of eyelid away from globe

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8
Q

Modified sebacceous glands of eyelid is called
Modified sweat glands of eyelid is called …

A

Meibomian glands

Glands of Moll

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9
Q

Accessory lacrimal glands are called (2)

A

Glands of krause and wolf ring

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10
Q

Chalazion define
Hordeleum internus
Hordelum externus

A

Granulomatous I.F of eyelid

Acute bacterial infection of Mei onion glands

Acute bacterial infection of glands of zeiss and moll

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11
Q

Eye involvement sign of myasthenia graves

Myotonic dystrophy is on chromosome…

A

Cogan twitch sign
19q

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12
Q

Ocular myopathy presents as …..

A

Chronic progressive external opthalmoplegia

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13
Q

Define simple congenital ptosis
Can be …..

A

Due to developmental dystrophy of levator muscle
Can be u/l or b/l

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14
Q

Features of congenital ptosis (6)

A
  1. Abscence of lid crease
  2. Superior rectus weakness
  3. Compensatory chin elevation
  4. Lid lag on downward gaze
  5. Astigmatism
  6. Anisometropia
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15
Q

Define Marcus Gunn jaw winking syndrome

A

Retraction of ptosis with chewing- stimulation of pterygoid muscle

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16
Q

Manipulation or trauma of superior palpebrae muscle complex by bridle suture causes …….ptosis

A

Aponeurotic ptosis

17
Q

Mechanical ptosis is due to ….

A

Lid tumours

18
Q

Rx of congenital ptosis

A
  1. FS operation. : good levator fn (10mm)
    Mild ptosis with Horner
    Mild congenital ptosis
  2. Levator resection: good levator fn
  3. Frontalis sling operation:
    Brow suspension
    a. Severe ptosis with poor levator fn
    <4mm
    b. Severe congenital ptosis
    c. Marcus Gunn jaw winking syndrome
19
Q

Levator resection is aka…..(2)

A

Everbusch’s
Blaskowic’s operation

20
Q

D/d for recurrent chalazion

A

Meibomian gland carcinoma- Sebaceous gland carcinoma

21
Q

Whitenall’s sling procedure …..is preserved

A

Mullers muscle

22
Q

What’s is jones operation?

A

Done for severe case of entropion.
Eyelid retractors are straightned by tucking or plication procedure.

23
Q

Papillary conjunctivitis can be a complication of …..rx

A

Posterior blepharitis.
Flumetholone-weak steroid

24
Q

Posterior blepharitis is aka…..

A

Meibomitis- I.f of meibomian gland.

25
Q

Feature of acute meibomitis

A

Caused by staph aureus-pressure on it, pus —>serosanguinous discharge

26
Q

Chronic meibomitis seen with ……&……

A

Middle aged : those with seborrheic dermatitis /acne rosea

27
Q

Signs of chronic meibomitis (4)

A
  1. white frothy foam like secretion on eyelid margin and canthi
  2. Toothpaste appearance on the lids
  3. Meibomian glands show capping of oil globules and pouting
  4. Hyperemia, telangiectasia of eyelid margin
28
Q

Rx for meibomitis

A
  1. Lid hygiene
    : warm compress, express the pus
  2. Topical antibiotic
  3. Oral antibiotic- doxycycline,if c/i-erythro
  4. Artificial tear drops.
29
Q

Difference between bhlepharophimosis
Vs euryblepharon

A

Blepharophismosis: horizontal palpebral fissure narrowing
Euryblepharon: horizontal palpebral fissure widening

30
Q

Clinical finding of blepharophimosis syndrome (3)

A

Telecanthus-widening of intracanthal dist
Blepharophimosis
Blepharoptosis

31
Q

Epiblepharon seen with …… ass with …..

A

Asian children - altered eyelid retractor
Ass with exposure keratopathy

32
Q

What is blepharochalasis?
Rx

A

Repeated bouts of eyelid swelling.
Rx: oral acetazolamide, topical hydrocortisone

33
Q

Define dermatochalasis

A

Excessive eye lid skin -secondary to aging

34
Q

Define steatoblepharon

A

Bulging of orbital fat secondary to aging

35
Q

Blepharospam ass with ……
Aponeurotic dehiscence ass with ….:

A

Blepharoptosis

Entropion

36
Q

Causes of pulsatile proptosis (3)

A

1.Corticocavernous fistula
2. Aneurysm of opthalmic artery
3. Transmitted cerebral pulsation, meningocele,mengingoencephalocele

37
Q

Tumor which contains all the germ layers
Rx

A

Teratoma
Cyst excised without removing eyeball