Lacrimal System Picuters

Front 1

prognosis?
what signs will indicate this disorder?
even if what?

Back 1

Congenital glaucoma
-if the child has both tearing and photophobia, the possibility of congenital glaucoma should be considered
-even if cornea is not cloudy or large

Front 2

what is this disorder called?

Back 2

Acute Dacryocystitis

Front 3

What does this patient have?

Back 3

Acute Dacryocystitis

Front 4

What does this patient have?

Back 4

Carcinoma of the Lacrimal Sac

Front 5

What does this patient have?

Back 5

Acute Dacryoadenitis

Front 6

What is this abnormality
Why does it form
what is the tx?

Back 6

Congenital Dacryocele
-collection of amniotic fluid w/i an obstructed lacrimal sac
-hot compress and massage is the initial tx but most infants will require probing

Front 7

What does this patient have?
-what are the symptoms
-what is it more common than?
-what is it?
-what happens to the globe?
-Etiology (4)?

Back 7

Chronic Dacryoadenitis
-chronic inflammation of the lacrimal gland
-more common than acute
-enlarged lacrimal gland
-globe displacement
-sarcoidosis, thyroid ophthalmopathy, Sjogren's syndrome, Tumor

Front 8

What is wrong with this patient?
-what type of disease?
-what is the triad?
-what may happen to the lacrimal gland infiltrates?

Back 8

Sjogrens Syndrome
-autoimmune disease
-dry eye, dry mouth, arthritis
-lacrimal gland infiltrated w/ lymphocytes --> may be enlarged

Front 9

What does this patient have?

Back 9

DDx of Chronic Dacryoadenitis - Dermoid Cyst

Front 10

what does this patient have?
-when is this seen?
-what is the sign?
-what does the doc. feel?
-what does the CT show
-what can be done

Back 10

DDx of Chronic Dacryoadenitis - Dermoid Cyst
-cystic lesion seen in preschool children
-superotemporal mass
-mobile and nontender
-well circumscribed on CT w/ rare bony remodeling
-sugical excision

Front 11

what test is being preformed? and why?

Back 11

Jones Test
-to determine patency of drainage system

Front 12

what is wrong with this child?
what are the signs?
how to manage?
what is the tx for mild, moderate, severe?

Back 12

Congenital Nasolacrimal Duct Obstruction
-tearing, discharge, crusting, mucus reflux from punctum w/ compression over lacrimal sac
-warm compress bid to qid
-topical antiB erythromycin bid 1 wk if mucopurulent discharge
-massage bid to qid w/ index finger over canaliculi in a downward stroke
-over 90% spontaneous resolution
-probing b/t 6 and 13 months (controversial)

Front 13

What does this patient have?

Back 13

Acute Dacryocystitis

Front 14

What does this patient have?
-what are the signs
-what can you see when lid is everted?

Back 14

Acute Dacryoadenitis
-swollen palpebral lobe of the lacrimal gland
-can be easily visualized in the supratemporal fornix by elevating the upper lid while pt looks down

Front 15

What does this patient have?

Back 15

Bilateral Dacryoadenitis

Front 16

what is the disorder and what is being removed?
-how to manage?

Back 16

Canaliculitis
-concretions are being removed
-after removal, warm compress, culture and appropriate systemic topical antibiotics Rx'd

Front 17

What does this patient have?
what is located at his superior temple?

Back 17

Chronic Dacryoadenitis
-lacrimal gland carcinoma

Front 18

what does this patient have
-what is forming?
and what is the doctor doing in the bottom photo?
-what bacteria is associated w/ this problem?

Back 18

Canaliculitis
-canalicular concretion is forming
-doctor is removing sulfur granules by manual expression or by scraping the canaliculus
-Actinomyces infection

Front 19

What does this patient have?

Back 19

Acute Dacryocystitis

Front 20

what are the doctors doing for this child

Back 20

probing of a congenital nasolacrimal duct obstruction

Front 21

What does this patient have?

Back 21

Acute Dacryosistitis

Front 22

What does this patient have?
-what are the signs
-what are the symptoms
-what is the work up?

Back 22

Acute Dacryoadenitis
-temporal upper eyelid inflammation
-tearing, discharge, fever, proptosis if orbital lobe involved
-culture, gram stain, CBC, blood culture, consider orbital CT scan

Front 23

What is wrong with this eye?
-what is causing it?

Back 23

Chronic Dacryoadenitis - Sarcoid
-lacrimal gland sarcoidosis (granulomatous inflammation)

Front 24

What is this CT scan showing?

Back 24

DDx of Chronic Dacryoadenitis - Dermoid Cyst
-well circumscribed on CT w/ rare bony remodeling

Front 25

what does this patient have?

Back 25

lacrimal gland tumor

Front 26

What does this patient have?

Back 26

Canaliculitis

Front 27

What does this patient have?
-how can you tell?
-what signs will they display?
-what should you order?

Back 27

Lacrimal gland tumor
-enlargement of lacrimal fossa w/ dispacement of the globe
-no inflammatory sign
-CT scan

Front 28

what is this called

Back 28

Congenital glaucoma

Front 29

What is this procedure called?
-what are they attempting to prevent?

Back 29

Dacryocystorhinostomy (DCR)
-to prevent future dacryocystitis

Front 30

What does this patient have?

Back 30

Acute Dacryoadenitis

Front 31

What does this patient have?
-what are the signs
-what is wrong around the medial canthus

Back 31

Canaliculitis
-erythema and swelling of punctum and adjacent tissues
-conjunctivitis around the medial canthus

Front 32

-what is this disorder?
-what are the symptoms?

Back 32

Acute Dacryocystitis
-tender, red, bump in the area of the lacrimal gland

Front 33

What does this patient have?

Back 33

Chronic Dacryocystitis

Front 34

What does this patient have?
-what is the doctor attempting to do?

Back 34

Canaliculitis
-doc is expressing discharge from the punctum

Front 35

What does this patient have?
what are the symptoms?
what are the signs?

Back 35

Acute Dacryoadenitis
-upper lid swelling, redness, warmth tenderness to palpatation
-S-shaped deformity

Front 36

What does this patient have?

Back 36

Acute Dacryocystitis

Front 37

what is this called?

Back 37

Acute Dacryocystitis