unit 7

Question 1

what is an inflamed meibomian gland called?

Answer 1

meibomian gland dysfunction

Question 2

MGD treatment

Answer 2

hot compress
iLux

Question 3

Hordeolum

Answer 3

-infection of meiobain gland
-both internal and external

internal
-pain, redness, swelling
-staphylococcus infection

Question 4

Treatments for Hordeulum

Answer 4

Hot compress
oral antibiotic medication

Question 5

Chalazion

Answer 5

• chronis inflammation in obstructed meibomian gland
• unresolved hordeolum may form a hard granulomatous chalazion
• generally not too painful

Question 6

Treatments for Chalazion

Answer 6

Surgical excision
Corticosteriod injection

Question 7

Blepharitis

Answer 7

• Chronic inflammation
• red lid margin, scaly flakes

Main cause
- Staphylococcus

Question 8

Treatments for Blepharitis

Answer 8

Hot compress
Lid scrubs
BlephEx (removes the biofilm along eyelid margin)

Question 9

Eyelid Positions

Answer 9

Entropion- eyelid margin turns INWARD
Ectropion- eyelid turning OUTWARD

Question 10

Treatments for En/Ectropion

Answer 10

Surgery
dry eye treatment

Question 11

Conjunctivitis variations

Answer 11

Bacterial
VIral
Allergic
Fungal
Parasitic

Question 12

Bacterial Conjunctivitis

Answer 12

Bilateral
Purulent discharge
“sticky” eyelids

Question 13

Treatment for Bacterial Conjunctivitis

Answer 13

Topical antibiotics
Oral antibiotics

Question 14

Viral conjunctivitis

Answer 14

Unilateral initially (can transfer from one eye to the other)
Tender preauricular node (lymph nodes contains immune cells)
Red, watery eye (pink eye-extremely contagious)

Question 15

Treatment for Viral Conjunctivitis

Answer 15

Resolves on its own
steroids (speeds recovery) or antivirals (treating HSV)

Question 16

Allergic Conjunctivitis variations

Answer 16

Hay Fever
Giant Papillary Conjunctivitis

Question 17

Hay fever

Answer 17

Lacrimation (tearing)
Hyperemia (redness)
Chemosis (swelling)

Question 18

Treatment for Hay Fever

Answer 18

Antihistamines
Mast cell stabilizers
NSAID’s
Cold Compress

Question 19

GPC

Answer 19

large cobblestone papillae
contact lens discomfort

Question 20

Treatment for GPC

Answer 20

changes lenses more often
reduce deposits on contact lenses; changes cleaning system

Question 21

Pinguecula and Pterygium

Answer 21

irritation secondary to UV, wind, and dryness

Question 22

Pinguecula

Answer 22

yellow nodules of benign tissue
more common on nasal conjunctiva

Question 23

Pterygium

Answer 23

Triangular growth on cornea
growth of pinguecula

Question 24

treatment for pinguecula and ptergyium

Answer 24

surgery for larger ptergium

Question 25

Subconjunctival Hemorrhage

Answer 25

rupture of small conjuctival blood vessel
may be secondary to coughing, weightlifting, patient on blood thinners
blood spreads everywhere from tiny blood vessel trapped beneath cornea
looks terrible

Question 26

Treatment for Subconjunctivitis Hemorrhage

Answer 26

resolves over weeks

Question 27

Conjunctival Nevus

Answer 27

Benign pigmented lesion
unilateral
yellow to brown

Question 28

Treatment for Conjuctival Nevus

Answer 28

Monitor for change

Question 29

Corneal Disorders

Answer 29

Microbial Keratitis
Keratoconus
Arcus Senilis
Corneal Dystrophy
Recurrent Corneal Erosion (RCE)

Question 30

Microbial Keratitis

Answer 30

inflammation of the cornea; infection
Bacterial or fungal
- corneal ulcer -fungal more likely to have fuzzy borders
Viral
- dendritic ulcer (HSV)=lesions
-EKC (Epidemic Keratoconjunctivitis

Question 31

Treatment for Microbial Keratitis

Answer 31

Topical or oral anti-infectives