Disorders of the Lashes

Question 1

an acquired misdirection of the eyelashes

Answer 1

TRICHIASIS

Question 2

method used for treating trichiasis is usually dictated by what?

Answer 2

PATTERN of the misdirected lashes and QUALITY of the posterior lamella of the involved eyelid.

Question 3

3 Complications of Trichiasis

Mnemonic: PIC

Answer 3

Pannus (growth of fine blood vessels onto the clear corneal surface)

Inferior punctate epitheliopathy

Corneal Ulceration

Question 4

4 Treatment of Trichiasis

Mnemonics: CASM

Answer 4

1. Mechanical epilation
2. Standard electrolysis or radiofrequency ablation
3. Cryotherapy
4. Argon laser treatment of trichiasis

Question 5

removing misdirected lashes with forceps at the slit lamp

Answer 5

MECHANICAL EPILATION

Question 6

eyelash regrowth with mechanical epilation can be expected how many weeks post epilation?

Answer 6

3-8weeks

Question 7

used for definitive treatment of trichiasis

Answer 7

Radiofrequency Ablation

Question 8

insulated needle

Answer 8

Radiofrequency ablation

Question 9

recurrence rate is high

Answer 9

Radiofreq Ablation

Question 10

2 complications of Radiofrequency ablation

Answer 10

ADJACENT normal lashes may be damaged and

scarring of the ADJACENT eyelid margin tissue can worsen the problem

Question 11

requires only local infiltrative anesthesia

Answer 11

cryotherapy

Question 12

double freeze-thaw technique

Answer 12

cryotherapy

Question 13

4 Disadvantages of Cryotherapy

PLEN

Answer 13

Possible interference with goblet cell function (decrease mucin production in tear film)

Loss of skin pigmentation

Edema lasting several days

Notching of the eyelid margin

Question 14

technique thats sensitive to hair color

Answer 14

Argon Laser Treatment

Question 15

treatment useful when ONLY A FEW SCATTERED eyelashes require ablation

Answer 15

Argon Laser Treatment

Question 16

extra row of eyelashes present in place of the orifices of the meibomian gland

Answer 16

DISTICHIASIS

Question 17

non invasive management of distichiasis

Answer 17

lubricants and soft contact lenses

Question 18

surgical management of distichiasis

mnemonic: CEE

Answer 18

Cryoepilation
Electrolysis
Eyelid splitting with removal of the follicles

Question 19

lashes growing from ABNORMAL POSITION or aberrant lashes arising from meibomian gland orifices

Answer 19

metaplastic lashes

Question 20

caused by ciatrizing conjunctivitis (ocular pemphigod, Stevens Johnson,, Chemical Burns

Answer 20

Metaplastic

Question 21

2 other term for Phthiriasis palpebrum

Answer 21

phthiriasis ciliaris and ciliary phthiriasis

Question 22

ECTOPARASITOSIS of the eyelashes due to an infestation with PTHIRUS PUBIS

Answer 22

phthiriasis palpebrum

Question 23

also known as pubic louse or crab louse

Answer 23

phthirus pubis

Question 24

Signs and Symptoms of Phthiriasis Palpebrum

Answer 24

Pain, Gritty and Burning Sensation and Pruritus of the eyelids (itchy eyes)

Question 25

MAIN SYMPTOM of Phthiriasis palpebrum

Answer 25

PRUPRITUS OF THE EYeLIDS

Question 26

Treatment of Pthiriasis Palpebrum

Answer 26

a) Mechanical removal with forceps b) Trimming or plucking of eye lashes c) Traumatic amputation d) Cryotherapy e) Argon laser photocoagulation f) Manual removal of nits after treatment g) Family members, sexual contacts, and close companions should be examined

Question 27

a condition that causes people to lose the hair from their eyelashes or eyebrows

Answer 27

MADAROSIS

Question 28

2 types of madarosis

Answer 28

Non- scarring and Scarring

Question 29

Internal hair structures remain, so the hair loss may be reversible

Answer 29

non scarring

Question 30

more damage, and the hair loss in the eyebrows or eyelashes may be permanent.

Answer 30

Scarring

Question 31

condition that causes a white patch or patches to appear in a person’s hair

Answer 31

Poliosis

Question 32

A person can develop poliosis because of genetic conditions, such as:

Answer 32

tuberous sclerosis piebaldism Waardenburg syndrome

Question 33

(True or False) People can also develop poliosis due to the use of certain medications

Answer 33

TRUE

Question 34

Side effect of Vogt-Koyanagi-Harada disease (VKH)

Answer 34

Poliosis