Eyelid Issues - Blepharitis, Stye, Chalazion, Entropion, Ectropion

Question 1

Blepharitis
-what is it
-associations
-presentation
-management

Answer 1

Inflammation of eyelid margin => dryness and irritation
-seborrhoeic dermatitis
-rosacea
-staph infection

Bilateral
Gritty, discomfort around eyelid margins
Sticky in morning
Stye, chalazion common

Hot compress BDS
Lid hygiene - mechanical removal of debris

Question 2

Stye
-what is it
-management

Answer 2

Infection of eyelid glands

Hot compress and analgesia
If associated conjunctivitis => TOP ABx

Question 3

Chalazion
-what is it
-management

Answer 3

Retention cyst of the meibomian gland

Firm painless lump

Self limiting
If severe => surgical drainage

Question 4

Entropion
-what is it
-presentation
-management

Answer 4

Inward folding of eyelid margin

Foreign body sensation
Irritation
Red, watery eye
Blurry vision

Surgery before cornea is damaged

Question 5

Ectropion
-what is it
-presentation
-management

Answer 5

Ouward folding of eyelid margin

Dry gritty
Sore, red, irritated
Watery
Blurry vision

Surgery before cornea is damaged