11 PAPILLAE,FOLLICLES, AND MGD

PAPILLAE

They appear as reddish-raised areas with flat tops and a velvety appearance, representing areas of vascular and epithelial hyperplasia.

PAPILLAE

They may indicate an allergic response or bacterial infection.

upper palpebral conjunctiva

PAPILLAE are more commonly observed in the ____________.

grade 0

grade 1

grade 2

grade 3

grade 4

Grades of papillae

Grade 0

GRADES OF PAPILLAE:
Normal tarsals conjunctiva, no papilla

Grade 1

GRADES OF PAPILLAE:
Multiple small papillae with smooth velvety appearance

Grade 2

GRADES OF PAPILLAE:
Micropapillae, each with a diameter of 0.3-1.0mm

Grade 3

GRADES OF PAPILLAE:
Giant papillae, each with a diameter of >1.0

Grade 4

GRADES OF PAPILLAE:
Large enormous protruding papillae

• CONJUNCTIVAL PAPILLAE

• LACRIMAL PAPILLAE

Types of papillae

CONJUNCTIVAL PAPILLAE

TYPES OF PAPILLAE:
These are raised bumps or nodules found on the conjunctiva, which is the thin, transparent membrane covering the white part of the eye and the inner surface of the eyelids.

CONJUNCTIVAL PAPILLAE

TYPES OF PAPILLAE:
can develop due to various reasons such as allergies, infections, or irritation.

LACRIMAL PAPILLAE

TYPES OF PAPILLAE:
These refer to the small elevations on the inner aspect of the eyelids, near the medial canthus, where the openings of the lacrimal puncta are located.

LACRIMAL PAPILLAE

TYPES OF PAPILLAE:
These puncta are the tiny openings through which tears drain from the eye into the tear drainage system.

• Bacterial infection

• Allergic reaction

Causes of papillae

• Redness

• Painful sensation

• Foreign body sensation

Signs of papillae

Itching

Symptom of papillae

• Cold compress

• Antihistamines

• Corticosteroids

• Surgical excision

Treatment of papillae

• Lid Hygiene

• Hand washing

Management of papillae

FOLLICLES

They are seen as greyish-white raised areas resembling boiled sago grains on fornices and palpebral conjunctiva.

lymphocytes

Follicles represent areas of aggregation of ________.

0.5-2mm

Follicles Round swellings in diameter

tiny blood vessels

Each follicle is encircled by _______

palpebral conjunctiva

Follicle is mostly seen in __________

• ACUTE FOLLICULAR

• CHRONIC FOLLICULAR

2 DIFFERENT TYPES OF FOLLICLES IN THE EYE:

ACUTE FOLLICULAR

2 DIFFERENT TYPES OF FOLLICLES IN THE EYE:
sudden onset of inflammation caused by viral infection

ACUTE FOLLICULAR

2 DIFFERENT TYPES OF FOLLICLES IN THE EYE:
can be resolved within a few weeks

CHRONIC FOLLICULAR

2 DIFFERENT TYPES OF FOLLICLES IN THE EYE:
persistent inflammation of the conjunctiva

• CHRONIC FOLLICULAR

2 DIFFERENT TYPES OF FOLLICLES IN THE EYE:
Recurrent

• Viral infection

• Bacteria (toxins present in certain eye drops)

Causes of follicles

• The follicles appear as gray-white, round to oval elevations

• Smaller follicles may produce a slightly irregular and velvety

Follicles sign

• Itching

• Red eyes

• Foreign body sensation

Follicles symptoms

• warm compress and lid hygiene

• Antibiotics

• Prescription-strength topical corticosteroid eyedrops to help reduce inflammation around the affected area

Follicles treatment

• Avoid touching your eyes

• Wash your hands frequently

• Clean and sterilize your glasses regularly to avoid contact with bacteria or viruses that may get on the surface of your glasses

Follicles management

bacterial, viral, allergic

Follicles and papillary types

papillary, minimal, purulent or milky discharge

bacterial: conjunctival reaction, itching, discharge

Follicular, minimal, watery

viral: conjunctival reaction, itching, discharge

Papillary, severe, watery

allergic: conjunctival reaction, itching, discharge

Meibomian glands

are specialized oil-producing glands located in the eyelids

meibum

primary function of Meibomian glands is to secrete an oily substance called ______, which helps to lubricate the surface of the eye and prevent tear evaporation

lubricate the surface of the eye and prevent tear evaporation

meibum helps to?

MGD or MEIBOMIAN GLANDS DYSFUNCTION

When meibomian glands become blocked or dysfunctional, it can lead to ___

MGD or MEIBOMIAN GLANDS DYSFUNCTION

a common condition characterized by dry eyes, inflammation, and discomfort

Meibomian glands

They are large sebaceous glands present in the eyelids which secrete lipids that form the superficial layer of tear film to protect evaporation of the aqueous phase.

25-40

amount of glands in upper eyelid

20-30

amount of glands in lower eyelid

• Age

• Hormonal Changes

• Poor Eyelid hygiene

• Skin conditions (Dermatitis)

• Systemic Diseases

MEIBOMIAN GLANDS DYSFUNCTION (MGD) causes

• Dryness

• Redness

• Irritation

• Gritty sensation in the eyes

MEIBOMIAN GLANDS DYSFUNCTION (MGD) signs

• Blurry vision

• Difficulty wearing contact lenses

• Eyelids crusting and sticking

MEIBOMIAN GLANDS DYSFUNCTION (MGD) symptoms

Oral medications such as doxycycline or azithromycin

MEIBOMIAN GLANDS DYSFUNCTION (MGD) treatment

• Eyelid hygiene

• Warm compresses

MEIBOMIAN GLANDS DYSFUNCTION (MGD) management