533 - A- Ocular Disease, Abnormalities In The Shape And Position Of The Lids Slides 1-53

Front 1

Define ectropion

Back 1

an abnormal eversion of the lower lid margin away from the globe.

Front 2

what are some subjective symptoms of ectropion?

Back 2

tearing, eye or eyelid irritation, wiping eye, history of burns surgery or trauma around lids, bells palsy, asymptomatic.

Front 3

Meaning of soap?

Back 3

subjective objective assesment and plan.

Front 4

Objective observations of ectropion

Back 4

outward turning of the eyelid, exposure keratopathy, conjunctival injection, keratinization.

Front 5

what is a physical response to ectropion

Back 5

keritinization. the cornea looks milky and oozy.

Front 6

PEE and SPK are an outcome of ectropion. what do they stand for and Define them.

Back 6

Puncate Epithelial Erosions
superficial punctate keratopathy. the fine scattered loss of corneal epi.

Front 7

some possible causes of ectropion are?

Back 7

congenital, acquired, involutional

Front 8

some possible ways that ectropion can be acquired?

Back 8

involutional, paralytic, cicatricial (scarring), mechanical, allergy.

Front 9

the most common cause of acquired ectropion?

Back 9

involutional. lid laxity with age.

Front 10

its rare that ectropion be congenital but if its due to blepharophimosis syndrome what is this?

Back 10

the abnormal narrowness of the palpebral fissure in the horizontal direction caused by the lateral displacement of the medial canthi

Front 11

its rare that ectropion be congenital but if its due to microphthalmos what is this?

Back 11

developmental anomaly where the globe is abnormally small.

Front 12

congenital ectropion may be associated with buphthalmos which is?

Back 12

An enlarged globe resulting from increased IOP. seen with pts that have congenital glaucoma.

Front 13

Congenital Ectropion may be associated with?

Back 13

Down syndrome, Orbital cysts, or Buphthalmos

Front 14

Involutional Ectropion. Laxity-related ectropion typically begins laterally,centrally or medially

Back 14

medially

Front 15

four words that are used to describe ectropion are

Back 15

punctal, medial, lateral, and tarsal (complete)

Front 16

name two ways that lower lid laxity can be tested

Back 16

lid distraction test > 8mm and the snap test >1- 2 sec to return both indicate lid laxity.

Front 17

orbicularis dysfunction due to 7th nerve palsy can be tested by asking the pt to do what?

Back 17

show their teeth

Front 18

If the ectropion is due to a paralytic problem what should be the first thing done?

Back 18

wait for three months it should resolve on its own.

Front 19

A cicatricial cause of ectropion could be due to?

Back 19

chemical burn, surgery, eyelid laceration scar, or others

Front 20

If conjunctiva is markedly keratinized what should be done first?

Back 20

lubricating ointment should be used several days or weeks prior to ectropion repair

Front 21

Temporary fixes for ectropion

Back 21

Tarsorrhaphy - lids partially sewn together and Electrocautery

Front 22

permanent fixes for ectropion

Back 22

involutional-shorten tarsal strip
palsy-gold weight inplant

Front 23

subjective reports for entropion

Back 23

ocular irritation, FB sensation, tearing, red eye, potopobia, decreased vision (possible)

Front 24

objective findings for entropion.

Back 24

turned in eyelid, SPK, FB tracking, conj injection, corneal ulcer, decreased cornela sensation, corneal scaring

Front 25

causes of entropion

Back 25

involutional, acute spastic, or congenital, cicatricial

Front 26

entropion caused by acute spastic entropion is caused by what?

Back 26

the orbicularis oculi muscle overwhelms the oppositional action of the lower eyelid retractors.

Front 27

you may have to ask the pt to ______in order to see acute spastic entropion.

Back 27

blink

Front 28

most pt's with acute spastic entropion will show a(n)_____ component as well.

Back 28

involutional

Front 29

acute spastic entropion is usually the result of?

Back 29

ocular irritation, may be due to an infectious, inflammatory or traumatic processes.

Front 30

Congenital entropion is very rare but may arise due to underlying developmental abnormalities such as

Back 30

dysgenesis, paucity of tissue vertically in the posterior lamella of eye lid, or tarsal kink syndrome

Front 31

causes of cicatricial entropion could be?

Back 31

scaring of the palpebral conj usually the result of trauma, infection, chemical burn or stevens-johnsons syndrome, ocular cicatricial pemphigoid

Front 32

what is ocular cicatricial pemphigoid (OCP) (a cicatricial cause of entropion

Back 32

Rare inflammatory syndrome involving primarily the oral and ocular mucous membranes

Front 33

entropion Must be distinguished from Epiblepharon which is?

Back 33

A congenital condition in which the pretarsal orbicularis muscle and the skin covering the eyelid push the eyelashes vertically or inwards

Front 34

three differential diagnoses of entropion

Back 34

trichiasis (misdirection of lashes), distichiasis (lashes out of Miebomian galnd), trachoma (chlamydia)

Front 35

Plan for entropion

Back 35

Medical therapy- lubrication (may break cycle of spastic ent.). hygiene/ antibio and steroid to treat bleph. which coud be causing the spastics. Botox-weakens pretarsal orbicularis.