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30 Cards in this Set

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  • Back
what are the five types of ectropion?
Congenital , involutional , paralytic, cicatricial,and mechanical
A 24 year old man presents with a facial burn causing cicatricial ectropian. How is this treated?
FTSG
An older man presents with lateraland medial lid laxity and ectropion. What is the treatment?
central tightening , lateral canthoplasty
a patient with a history of CN VII nervepalsy. what are the treatment options?
lubrication , horizontal eyelid tightening, a temporary or permanent tarsorhaphyshard palate graft and gold weights
Congenital ectropion is associated with which condition?
blepharophimosis syndrome
what are the four types of entropion?
congenital, acute spastic, involutional, andCicatricial
A 3-year-old boy is brought to the office by his parents because of new onset of bilateral epiphora. The boy’s parents say that similar symptoms occurred in one of their older children but resolved without treatment. On physical examination, the lashes of both lower eyelids rub against the inferior cornea. Which of the following is the pathophysiologic mechanism underlying this patient’s condition?
Redundancy of skin and orbicularis muscle
a patient presents with entropion following ocular irritation. what is the treatment?
taping the eye and botox to the orbicularis
a elderly patient presents with entropion. what is the most likely pathologic problem?
disinfection of the eyelid retractors
What is the approximate percentage of patients undergoing reconstruction of fractures of the orbital floor through a transconjunctival approach who will develop ectropion?
0%
What is the approximate percentage of patients undergoing reconstruction of fractures of the orbital floor through a Subcillary approach who will develop ectropion?
25%
A 13-month-old girl has had tearing and discharge from the right eye since birth. what is the diagnosis?
congenital dacryostenosis- punctal agenesis
A 6-month-old girl has had tearing and discharge from the right eye since birth. Which of the following is the most appropriate management?
massage and antibiotic drop
A 13-month-old girl has had tearing and discharge from the right eye since birth. Which of the following is the most appropriate management?
Probing of the nasolacrimal duct
How do you treat Myogenic ptosis with levator excursion > 5 mm?
levator resection
How do you treat Myogenic ptosis with levator excursion < 5 mm?
frontalis suspension
How do you treat a Aponeurotic ptosis ?
levator advancement
A 57 year old female presents with ptosis of the upper eyelids, high eyelid crease, and excellent levator function.What is the appropriate treatment?
Reanastomosis of the dehisced levator aponeurosis
where ave hyphemas located?
anterior Chamber
what is the treatment of a hyphema ?
administration of acetazolamide and corticosteroid eye drops to decrease ocular tension
The common canaliculus enters the lacrimal sac at a point posterior to which of the following structures ?
Medial canthal tendon
What is the treatment for a patient diagnosis with partial obstruction of the the nasolacrimal duct as diagnosed with a negative Jones I and positive Jones II?
dacryocystorhinostomy
what is the treatment of choice for patients who have complete obstruction of the lacrimal puncta?
insertion of a Jones tube
what is the management of strictures found at the junction of the common canaliculus and the lacrimal sac, as well as for obstructions at the level of the canaliculus?
Canaliculodacryocystorhinostomy, with intubation
What is the appropriate treatment for patients who have absence or obliteration of the tear sac?
Conjunctivorhinostomy
What are predictors of dry eye syndrome?
exophthalmos, moderate scleral show, proptosis, hypotonia of the lower eyelids, and maxillary hypoplasia
58-year-old man who has recurrent painless edema of the eyelids. Three upper eyelid blepharoplasty procedures over the past 30 years have not resolved this condition. On physical examination, the skin of the upper eyelids is thin, and results of snap testing are poor. These findings are most consistent with which of the following?
Blepharochalasis
A 40-year-old woman has steady, lancinating pain in the globe and orbit and episodes of vomiting six hours after undergoing blepharoplasty of the lower eyelids. She says that she sees sparkles and flashes and has the sensation similar to a "window shade" closing over the lower half of her range of vision.These findings are most consistent with which of the following?
Retrobulbar hematoma
After undergoing repair of an orbital fracture, a patient has progressive loss of vision resulting from the development of a retrobulbar hematoma. In order to immediately relieve intraocular pressure, which of the following structures should be released?
Lateral canthal tendon
A 2-year-old child is being evaluated because he has deformities of the eyelids and upper face. Examination shows large epicanthal folds of the lower eyelids with epicanthus inversus, horizontal shortening of the eyelids, and 5 mm of ptosis bilaterally. Levator excursion is 4 mm. These findings are most consistent with
blepharophimosis syndrome