Eyelid disorders

Question 1

what are symptoms associated with blepharitis?

Answer 1

Itchy sore eyelids 
Eyelids that stick together and difficult to open up when when you wake up 
Eyelashes that become greasy or crusty 
Burning/gritty sensation in the eye 
Photophobia

Question 2

What are clinical features of styes?

Answer 2

swollen upper or lower lid
painful and sensitive to touch, swelling pain is more severe and pus-filled lesions are not obvious due to inward growth
over time the selling develops into pus-filled lesion

Question 3

What are likely causes of eyelid disorders?

Answer 3

contact or irritant dermatitis

Question 4

What are unlikely causes of eyelid disorders?

Answer 4

Chalazion - meibomian gland is blocked - painless lump, self-limiting
Entropion - inversion of the eyelid - refer
Ectropion - eyelid turns outward - watery eyes leads to dryness of the eyes

Question 5

When would you refer?

Answer 5

1. unresponsive to tx
2. constantly dry eyes
3. concurrent conjunctivitis
4. Meibomian cysts - swelling on the inside of the lids
5. Stye - swelling that produces pus
6. Eye pain, photophobia, worsening in vision

Question 6

What tx options are there for blepharitis?

Answer 6

warm compress for 5-10minutes
diluted mixture of baby shampoo (1:10) warm water should be applied to the eyelids using a cotton bud -BD then once a day when symptoms improve

or brolene, golden eyes

topical antibiotics like fusidic eyes drops

Question 7

What are the tx options for stye?

Answer 7

warm compress 5-10 minutes TDS/QDS

brolene can be used