Lids & Injection Grading

0.0(0)
learnLearn
examPractice Test
spaced repetitionSpaced Repetition
heart puzzleMatch
flashcardsFlashcards
Card Sorting

1/83

encourage image

There's no tags or description

Looks like no tags are added yet.

Study Analytics
Name
Mastery
Learn
Test
Matching
Spaced

No study sessions yet.

84 Terms

1
New cards

allergic conjunctivitis, all CL wearers, suspected foreign body

give examples of indications for lid eversion

2
New cards

recent history of trauma/surgery to the lid

when is lid eversion contraindicated?

3
New cards

lids, tear film, corneal epithelium

what are the non-immune responses of the cornea?

4
New cards

heat, redness, swelling, pain, loss of function

what are the classic signs of inflammation?

5
New cards

hypertrophy

increase in cell size

6
New cards

hyperplasia

increase in cell number; cancer risk

7
New cards

metaplasia

reversible changes in which 1 adult cell is replaced by another; cancer risk

8
New cards

dysplasia

loss of uniformity of cells & their architectural orientation; cancer risk

9
New cards

madarosis

loss of eyelashes due to chronic inflammation or trauma

<p>loss of eyelashes due to chronic inflammation or trauma</p>
10
New cards

poliosis

whitening of lashes due to chronic inflammation

<p>whitening of lashes due to chronic inflammation </p>
11
New cards

trichiasis

misdirection of lashes; oftentimes on the lower lid; due to age/trauma

<p>misdirection of lashes; oftentimes on the lower lid; due to age/trauma </p>
12
New cards

entropion

lashes are pulled into the eye

<p>lashes are pulled into the eye </p>
13
New cards

ectropion

outward turning of the eyelid margin, inferior lid margin or lacrimal puncta does not contact the globe

<p>outward turning of the eyelid margin, inferior lid margin or lacrimal puncta does not contact the globe </p>
14
New cards

distichiasis

partial or complete second row of lashes

15
New cards

anterior blepharitis

  • characterized by scales around the base of the lashes, redness, & thickened hypertrophic lid margins

  • generally bacterial in origin

  • sx: itchiness, burning, foreign body sensation, tearing, crusting, associated with lash findings

<ul><li><p>characterized by scales around the base of the lashes, redness, &amp; thickened hypertrophic lid margins </p></li><li><p>generally bacterial in origin </p></li><li><p>sx: itchiness, burning, foreign body sensation, tearing, crusting, associated with lash findings </p></li></ul>
16
New cards

staphylococcal

anterior blepharitis characterized by thin, honey-colored flakes (collarettes) among eyelashes

<p>anterior blepharitis characterized by thin, honey-colored flakes (collarettes) among eyelashes</p>
17
New cards

seborrheic

anterior blepharitis characterized by dandruff-like flakes or accumulations of oily sebaceous material among the eyelashes; most common blepharitis form

<p>anterior blepharitis characterized by dandruff-like flakes or accumulations of oily sebaceous material among the eyelashes; most common blepharitis form </p>
18
New cards

demodectic

anterior blepharitis caused by a mite; presence of a waxy-appearing, cylindrical cuffs around bases of lashes

<p>anterior blepharitis caused by a mite; presence of a waxy-appearing, cylindrical cuffs around bases of lashes</p>
19
New cards

posterior blepharitis

  • blepharitis caused by meibomian gland irritation/inflammation

  • frequently associated with seborrhea

  • staph and hypersensitivity response

  • mild-moderate inflammatory appearance to the posterior lid margin & palpebral conj

  • papillary response

  • tear film disturbances

20
New cards

meibomian gland

  • linear & 3-4mm in length traversing the posterior lid perpendicularly from the lid margin to the opposite edge of the tarsus

  • tubulo-acinar architecture with saccular arrangements of acini & a ductal system that communicates with orifices near the mucocutaneous junction of the lid

21
New cards

meibocytes

functional unit of the meibomian gland; synthesizes & secretes lipids into precorneal tear film

22
New cards

meibum

prevents the tear evaporation & thus desiccation of the ocular surface, acts as a hydrophobic barrier to the inward movement of environmental & organic agents, lubricates the ocular surface to prevent irritation while promoting a clear ocular image

23
New cards

more

the _____ color fringes present in tear film, interferometry, the thicker the tear film is

24
New cards

greater than 100nm

what is the normal thickness of the lipid layer of the tear film?

25
New cards

chalazion

  • presents with a hard, painless nodule in the eyelid that slowly enlarges over the course of weeks-months

  • can result from a hordeolum or can occur independently

  • associated with rosacea & blepharitis

  • specimens show zonula lipogranulomatous inflammation centered on clear spaces previously filled with lipid

  • mixed inflammatory infiltrate that consists of neutrophils, plasma cells, lymphocytes, epithelioid histiocytes, & multinucleate giant cells

<ul><li><p>presents with a hard, painless nodule in the eyelid that slowly enlarges over the course of weeks-months </p></li><li><p>can result from a hordeolum or can occur independently</p></li><li><p>associated with rosacea &amp; blepharitis </p></li><li><p>specimens show zonula lipogranulomatous inflammation centered on clear spaces previously filled with lipid </p></li><li><p>mixed inflammatory infiltrate that consists of neutrophils, plasma cells, lymphocytes, epithelioid histiocytes, &amp; multinucleate giant cells </p></li></ul>
26
New cards

hordeolum

  • acute, purulent inflammatory process of any gland in the eyelid that presents as a discrete, warm, erythematous, painful pustule over the course of a few days

  • pathology shows a small, purulent abscess consisting of neutrophils & necrotic cellular debris on a hair follicle & its adjacent gland

<ul><li><p>acute, purulent inflammatory process of any gland in the eyelid that presents as a discrete, warm, erythematous, painful pustule over the course of a few days</p></li><li><p>pathology shows a small, purulent abscess consisting of neutrophils &amp; necrotic cellular debris on a hair follicle &amp; its adjacent gland </p></li></ul>
27
New cards

xanthelasma

  • tumor consisting of intracellular accumulation of lipid with lipid-laden macrophages within the dermis

  • presents as multiple soft, yellowish plaques commonly found near the medial canthi of the upper & lower lids

<ul><li><p>tumor consisting of intracellular accumulation of lipid with lipid-laden macrophages within the dermis</p></li><li><p>presents as multiple soft, yellowish plaques commonly found near the medial canthi of the upper &amp; lower lids </p></li></ul>
28
New cards

milia

  • very common in young people & newborns

  • dead skin cells/keratins trapped w/in the base of a hair follicle or sweat gland

  • small raised bump that looks like a pimple

<ul><li><p>very common in young people &amp; newborns</p></li><li><p>dead skin cells/keratins trapped w/in the base of a hair follicle or sweat gland</p></li><li><p>small raised bump that looks like a pimple </p></li></ul>
29
New cards

papilloma

  • one of the most common eyelid tumors

  • occurs in middle-aged or elderly patients

  • benign, painless, & carries little to no risk for growth into cancer

<ul><li><p>one of the most common eyelid tumors</p></li><li><p>occurs in middle-aged or elderly patients</p></li><li><p>benign, painless, &amp; carries little to no risk for growth into cancer </p></li></ul>
30
New cards

nevus

  • freckle

  • congenital or acquired

  • stable

<ul><li><p>freckle</p></li><li><p>congenital or acquired</p></li><li><p>stable</p></li></ul>
31
New cards

no

can tumors cross the lid?

32
New cards

no

can tumors cross from the left eye to the right eye?

33
New cards

0

grade the papilla

<p>grade the papilla</p>
34
New cards

1

grade the papilla

<p>grade the papilla</p>
35
New cards

2

grade the papilla

<p>grade the papilla</p>
36
New cards

3

grade the papilla

<p>grade the papilla</p>
37
New cards

4

grade the papilla

<p>grade the papilla</p>
38
New cards

granulomata

what is shown in the pic?

<p>what is shown in the pic?</p>
39
New cards

calcium deposit

what is shown in the pic?

<p>what is shown in the pic?</p>
40
New cards

hordeolum

what is shown in the pic?

<p>what is shown in the pic?</p>
41
New cards

endophthalmitis w/ hypopyon

what is shown in the pic?

<p>what is shown in the pic?</p>
42
New cards

corneal ulcer

what is shown in the pic?

<p>what is shown in the pic?</p>
43
New cards

diffuse redness

what is shown in the pic?

<p>what is shown in the pic?</p>
44
New cards

corneal edema

what is shown in the pic?

<p>what is shown in the pic?</p>
45
New cards

focal redness

what is shown in the pic?

<p>what is shown in the pic?</p>
46
New cards

corneal infiltrate

what is shown in the pic?

<p>what is shown in the pic?</p>
47
New cards

circumlimbal injection

what is shown in the pic?

<p>what is shown in the pic?</p>
48
New cards

conjunctival edema

what is shown in the pic?

<p>what is shown in the pic?</p>
49
New cards

bacterial conjunctivitis

what is shown in the pic?

<p>what is shown in the pic?</p>
50
New cards

0

grade the injection

<p>grade the injection</p>
51
New cards

1

grade the injection

<p>grade the injection</p>
52
New cards

2

grade the injection

<p>grade the injection</p>
53
New cards

3

grade the injection

<p>grade the injection</p>
54
New cards

4

grade the injection

<p>grade the injection</p>
55
New cards

0

grade the injection

<p>grade the injection</p>
56
New cards

1

grade the injection

<p>grade the injection</p>
57
New cards

2

grade the injection

<p>grade the injection</p>
58
New cards

3

grade the injection

<p>grade the injection</p>
59
New cards

4

grade the injection

<p>grade the injection</p>
60
New cards

nevus

what is shown in the pic?

<p>what is shown in the pic? </p>
61
New cards

nevus

what is shown in the pic?

<p>what is shown in the pic? </p>
62
New cards

nevus

what is shown in the pic?

<p>what is shown in the pic? </p>
63
New cards

ectropion

what is shown in the pic?

<p>what is shown in the pic? </p>
64
New cards

hordeolum

what is shown in the pic?

<p>what is shown in the pic? </p>
65
New cards

hordeolum

what is shown in the pic?

<p>what is shown in the pic? </p>
66
New cards

hordeolum

what is shown in the pic?

<p>what is shown in the pic? </p>
67
New cards

chalazion

what is shown in the pic?

<p>what is shown in the pic? </p>
68
New cards

chalazion

what is shown in the pic?

<p>what is shown in the pic? </p>
69
New cards

entropion

what is shown in the pic?

<p>what is shown in the pic? </p>
70
New cards

demodex blepharitis

what is shown in the pic?

<p>what is shown in the pic? </p>
71
New cards

concretion

what is shown in the pic?

<p>what is shown in the pic? </p>
72
New cards

papillae

what is shown in the pic?

<p>what is shown in the pic? </p>
73
New cards

3: severe gland loss

grade the meibomian glands

<p>grade the meibomian glands</p>
74
New cards

0: normal

grade the meibomian glands

<p>grade the meibomian glands</p>
75
New cards

distichiasis & trichiasis

what is shown in the pic?

<p>what is shown in the pic? </p>
76
New cards

0

grade the papillae

<p>grade the papillae</p>
77
New cards

1

grade the papillae

<p>grade the papillae </p>
78
New cards

3

grade the papillae

<p>grade the papillae</p>
79
New cards

3

grade the papillae

<p>grade the papillae</p>
80
New cards

orbital cellulitis (inflammation is restricted to the orbit)

what is shown in the pic?

<p>what is shown in the pic? </p>
81
New cards

miebomitis/posterior blepharitis

what is shown in the pic?

<p>what is shown in the pic? </p>
82
New cards

staphylococcal blepharitis

what is shown in the pic?

<p>what is shown in the pic? </p>
83
New cards

1: mild gland loss

grade the meibomian glands

<p>grade the meibomian glands</p>
84
New cards

poliosis

what is shown in the pic?

<p>what is shown in the pic? </p>