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49 Cards in this Set
- Front
- Back
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Horner's syndrome may be caused by (3)
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-variety of lesions including carotid dissection
-cavernous sinus tumors -pulmonary apex lesions |
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Margin-reflex distance
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Normal is 4-4.5mm
(distance between upper lid margin and corneal reflection of the a pen torch held by examiner) |
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Palpebral fissure height
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distance between upper and lower lid margins
-2mm below upper limbus -1mm above lower limbus |
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Upper lid crease
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-vertical distance between the lid margin and lid crease in down gaze
(females -10mm, males - 8mm) |
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Blepharochalsis
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recurrent painless edema of the upper lids
-atrophy and laxity of the upper lid |
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Floppy eyelid syndrome is associated with ___
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obese men/apnea
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What do you see in floppy eyelid syndrome?
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chronic papillary conjunctivitis with lax tarsi
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Von-Graefe's sign
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lid sag on downgaze in thyroid dz
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Boston’s sign
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lid lag on downgaze in thyroid dz
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Cogan’s sign
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upper eyelid twitch when pt with ptosis refixates from downgaze to primary position. A non-specific finding in MG. also refers to venous engorgement over lateral rectus in thyroid dz.
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Czarnecki’s sign
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segmental pupillary constriction with eye movements due to aberrant regeneration of CN3
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Dalrymple’s sign
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widened palpebral fissure secondary to upper eyelid retraction in thyroid dz
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Enroth’s sign
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eyelid edema in thyroid dz
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Globe’s sign
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lid lag on upgaze in thyroid dz
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Parry’s sign
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exophthalmos in thyroid dz
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Pseudo-von Graefe sign
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lid elevation on adduction or downgaze due to aberrant regeneration of CN3
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ciliary injection
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injection solely circumlimbal points to uveitis
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watery discharge is associated with what kind of conjunctivitis as opposed to purulent/muco discharge?
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viral/allergic conjunctivitis
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concretions
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epithelial inclusion cysts that have become calcified
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conjunctival lymphangiectasia
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also called conjunctival retention cyst
- |
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What is the most common type of conjunctival amyloidosis
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primary localized
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Congenital ocular melanocytosis
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-not a true conjunctival lesion
-unilateral nevus of the episcleral and sclera |
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Melanocytosis
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multifocal slate gray pigmentation in the episclera
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T/F PAM is a deposition of pigment.
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FALSE profliferation of conj. epithelial melanocytes
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What are the two types of PAM?
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cellular atypia
and w/o atypia |
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What is usual for PAM pts?
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unilateral, middelaged white pts, palepbral or bulbar
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T/F Pigmented lesions in fornix of conj is HIGHLy suspect for PAM
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True
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Secondary acquired melanosis is due to __, __, __, __, and __
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actinic stimulation
radiation pregnancy addison's inflammation |
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What is the most common type of conj tumor?
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conj nevus
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What is the key to diagnosis of nevus?
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small cysts
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If you have a nevus of palpebral conj, consider __ and ___
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PAM or melanoma
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Conj. melonoma arises from __, __, and __
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PAM
NEVI de novo |
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What are the 5 types of conj nevus?
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junctional, compound, subepithelial, spindle cell, and blue
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Where is the primary mestatsis of conj melanoma?
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liver
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Conj intraepithelial neoplasia: what is it and risk from? (4)
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uncommon unilateral
UV, HPV 16, XP, HIV |
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Conj intraepithelial neoplasia represents __, __, and __
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conj epithelial dysplasia
carcinoma in-situ squamous cell carcinoma |
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Gelantinous, papillomatous appearance and growth is centripetal
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Squamous CC
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What is effective against SCC
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topical MMC
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What are the 2 types of conj papilloma?
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1-VIRAL- multiple ped. leisions in young, HPV ( palepbral usually)
2-NEOPLASTIC-broad, flat, sessile, near limbus |
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Which kind of conj papilloma do you usually leave untreated?
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viral
recurrence is common |
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Most common epibulbar tumors of childhood
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choristoma
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Which kind of choristoma is present in adults and located at where?
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dermolipomas
outer canthus |
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What are the 2 kinds of choristoma?
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dermolipomas
epibulbar osseous choristoma |
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What can mimic subconj hemmorhage?
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conj kaposi
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Conj kaposi is associated with __ and ___
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Kaposi
Herpes Virus 8 |
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What is the difference between true and psuedo lymphomas?
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true-slow onset and nonpainful
psuedo-fast onset and painful |
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Majority of lymphomas systemically are from ___
conjunctiva are from ___ |
B lymph
B and T |
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How is conj lymphoma presentd on bulbar con or in fornix?
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salmon color
oval |
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Conj lymphoma may arise from ___, __, __, or mainly ___
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de novo
orbital llymphoma systemic MALT (mucosa associated lymphomia tissue) |
