Eyelid problems

Question 1

What is a stye?

Answer 1

acute infectious process involving abscess formation of eyelid

Question 2

What is the other word for stye?

Answer 2

hordeolum

Question 3

What are the different types of stye?

Answer 3

External - inf of glands of Zeis or Moll

Internal - inf of Meibomian glands, may leave chalazion

Question 4

What organisms typically cause?

Answer 4

staph aureus

s epidermidis

Question 5

What is a stye w out infection termed as

Answer 5

meibomian cyst

Question 6

What are chalazions?

Answer 6

lump caused by blockage of the meibomian gland

Question 7

How do chalazions present

Answer 7

firm painless lump

Question 8

How do styes present?

Answer 8

acute painful localised eyelid swelling developing over several days

Question 9

What is the management of styes?

Answer 9

Warm compress
Incision and drainage using sterile needle
dont give abx unless conjuncitvitis

Question 10

What is the management of chalazion?

Answer 10

Usually self limiting
Warm compress
? incision + curettage

Question 11

What is blepharitis?

Answer 11

inflammation of the eyelid margins

Question 12

What are the causes of blepharitis?

Answer 12

Dry eyes lead to irritation!
Meibomian gland dysfunction
Seborrhoeic dermatitis/staph inf

Question 13

wHat is blepharitis associated wit?

Answer 13

rosacea

Question 14

What is the function of the meibomian glands?

Answer 14

secrete oil on to the eye surface to prevent rapid evaporation of the tear film

Question 15

How does blepharitis present?

Answer 15

Bilateral
Burning, itching red margins
Foreign body sensation
Crusting of eyelids

Question 16

What is the treatment of blepharitis?

Answer 16

1. Clean crusts off lashes w cotton buds
2. Artificial tears for sx relief
3. Fusidic acid, steroid drops, oral doxycycline

Question 17

What are pinguecula?

Answer 17

degenerative vascular yellow/grey nodules on conjunctiva either side of cornea

Question 18

What are entropion?

Answer 18

lid interning, eyelashes irritate the cornea

Question 19

What is rx of entropion?

Answer 19

Taping lower lid to cheek
Temporary relief - botulinum toxin inj to lower lid
Surgery for more lasting relief

Question 20

What are ectropion?

Answer 20

lower lid eversion

Question 21

What are sx of ectropion

Answer 21

eye irritation, watering +/- exposure keratitis

Question 22

What are ectropion associated with?

Answer 22

old age

facial palsy

Question 23

What is rx of ectropion?

Answer 23

plastic surgery

Question 24

How do eyelid BCCs present?

What is rx

Answer 24

nodular lump
pearly edges +/- fine telangiectasia
rx: excision

Question 25

What are common benign tumours of the eyelid?

Answer 25

skin papilloma seborroeic keratoses pyogenic granulomata as a response to injury