Eyelid problems Flashcards
Blepharitis
Chronic/ recurrent inflammation with scaling of eyelid margins
What is the most common cause of blepharitis?
Staphylococci
Describe presentation of blepharitis
Red, swollen eyelids + irregular eyelid margins
Crusty, scaly plaques, +/or oily deposits on the eyelid margin + eyelashes
Eye irritation + visual abnormalities
Describe management of blepharitis
Long-term eyelid margin hygiene
Topical abx if severe
Stye
Infection of the glands of the eyelids
(usually staphylococcal)
Entropion
In-turning of the eyelids
Ectropion
Out-turning of the eyelids
Chalazion
aka. Meibomian cyst
Retention cyst of Meibomian gland
How does Chalazion present? Describe management
Firm painless lump in eyelid
Majority resolve spontaneously
Some require surgical drainage
What are the 2 different types of stye?
External (Hordeolum externum)
Internal (Hordeolum internum)
What is an external stye?
infection of the glands of Zeis (sebum producing) or glands of Moll (sweat glands).
At lid margin
What is an internal stye?
infection of the Meibomian glands.
May leave a residual chalazion
Describe presentation of styes
Painful, erythematous, tender pus-filled nodule
Spontaneous perforation + purulent discharge after a few days
Describe management of styes
Most self-limiting + resolve spontaneously
Hot compresses + analgesia.
Topical abx if associated conjunctivitis
