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Anterior Segment Disease
Conditions for test 1
140
Other
Graduate
02/08/2013

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Term
Epicanthus palpebralis
Definition
Vertically oriented folds of skin at the medial canthus that is equally distributed between super and inferior lid
Term
Epicanthus tarsalis
Definition
Vertically oriented folds of skin at the medial canthus that is more prominent on the upper lid
Term
Epicanthus inversus
Definition
Vertically oriented folds of skin at the medial canthus that is more prominent on the inferior lid
Term
Epicanthus superciliaris
Definition
Vertically oriented folds of skin at the medial canthus that begins near the brow bone and continues to the lower lid
Term
Telecanthus
Definition
A lateral displacement of the medial canthus and puncta
Term
Hypertelorism
Definition
A lateral displacement of the entire orbit
Term
Waardenburg syndrome
Definition
Genetic melanocyte formation disorder associated with telacanthus
Term
BPES (Blepharophimosis-ptosis-epicanthus inversus syndrome)
Definition
A congenital narrowing of the interpalpebral fissure associated with lid droop and epicanthal folds
Term
Epiblepharon
Definition
An extra horizontal fold of skin at the lower eyelid margin that causes the eyelids to fold inward.
Term
Congenital entropion
Definition
The in turning of the entire lid margin (Superior often due to microphthalmos and inferior commonly due to improper lower lid retractor muscle development)
Term
Eyelid coloboma
Definition
A notch or complete absence of a SECTION of eye lid.
Term
Microblepharon
Definition
A genetic condition causing vertically short eyelids.
Term
Ablepharon
Definition
Near absolute deficiency of eyelid tissue
Term
Simple microphthalmos
Definition
An abnormally small and malformed globe due to improper development of the optic vesicle with no other ocular problems.
Term
Complex microphthalmos
Definition
An abnormally small and malformed globe due to improper development of the optic vesicle that is colobomatous (often of the iris)
Term
Microphthalmos with cyst
Definition
An abnormally small and malformed globe due to a lack of closure of the optic fissure involving cyst formation
Term
Posterior microphthalmos
Definition
An abnormally small and malformed globe due to improper development of the optic vesicle where there is a normal sized cornea and appearance but reduced axial length by >2 standard deviations
Term
Simple Anophthalmos
Definition
Complete absence of ocular tissue in the orbit caused by the optic vesicle never budding. Often with microblepharon and absence of EOM
Term
Cystic anophthalmos
Definition
Complete absence of ocular tissue in the orbit where the globe is replaced by disorganized cyst
Term
Complete Cryptophthalmos
Definition
Absence of eyelids where the skin grows straight from forehead to cheek continuously
Term
Incomplete cryptophthalmos
Definition
Absence of eyelids where the lateral eyelid is normal but the medial skin is fused to the globe
Term
Symblepharon cryptophthalmos
Definition
Absence of eyelids where the palpebral conjunctiva of the upper lid is fused to the bulbar conjunctiva of the superior globe
Term
Ankyloblepharon
Definition
Where the eyelids have formed but remain fused (without disorganization of deeper structures).
Term
Euryblepharon
Definition
Condition where the eyelids are abnormally long horizontally. Results in lateral ectropion.
Term
Congenital upper lid eversion
Definition
Children born with lids that constantly flip.
Term
Crouzon syndrome
Definition
A cranial synostosis disease associated with the brachial arch
Term
Apert syndrome
Definition
Cranial synostosis syndrome that presents with syndactyly and may be related to keratoconus
Term
Pfeiffer syndrome
Definition
Cranial synostosis syndrome that is most severe
Term
Treacher collins syndrome
Definition
Mandibulofacialdystosis disease associated with visual issues like slanted eyes and INFERIOR coloboma
Term
Goldenhar syndrome
Definition
Congenital defect associated with vascular incident. Presents with upper lid coloboma (medial portion), limbal dermoids, preauricular skin tags, and absent ears
Term
Microcornea
Definition
An eye with a cornea that is less than 10 mm in diameter.
Term
Megalocornea
Definition
An eye with a cornea larger than 13 mm
Term
Buphthalmos
Definition
A condition with an enlarged cornea and an enlarged globe with elevated IOP
Term
Neuhauser syndrome
Definition
Megalocornea when associated with varying degree of mental retardation
Term
Anterior megalophthalmos
Definition
Megalocornea with an enlarged ciliary body
Term
Sclerocornea
Definition
When the scleral tissue grows onto and over the cornea (without any inflammatory process)
Term
Cornea plana
Definition
A severely flat cornea (30-35 D)
Term
Keratolenticular dysgenesis
Definition
When the lens vesicle separates but does not form properly. The lens, iris, and cornea are mashed together.
Term
Congenital anterior staphyloma
Definition
An opaque cornea that protrudes through and beyond the lids due to keratitis during gestation.
Term
Keratectasia
Definition
A bulging of the cornea outward due to the IOP pressing against it. Often the result of surgery and may present with nebulae
Term
Posterior keratoconus
Definition
A cornea with normal anterior curvature but a posterior (endothelial) curvature that is too steep. May be generalized or circumscribed
Term
Ectropion uvea
Definition
Hypertrophy of the pigmented epithelium of the iris where it comes around the pupil border.
Term
Anterior lenticonus
Definition
Conical ectasia of the lens due to thinning of the anterior capsule. 90% of which are associated with Alport syndrome
Term
Posterior lenticonus
Definition
A protrusion of the posterior lens not associated with systemic problems. Presents with a reflex showing an oil drop appearance
Term
Microspherophakia
Definition
An abnormally small and rounded lens.
Term
Glaukomflecken
Definition
Focal infarction on the anterior lens epithelium (opacified flecks)
Term
Peripheral anterior synechiae
Definition
Attachments of the cornea to the iris
Term
Weill-Marchesani
Definition
A systemic disorder with skeletal malformation, short stature, brachycephaly, and limited joint mobility. Have ectopia lentis, microspherophakia, and lenticular myopia
Term
Microphakia
Definition
An abnormally small lens. Part of the diagnosis of Lowe's in addition to the diagnostic triad( Cataract, infant hypotonia/mental impairment, renal tubular dysfunction)
Term
Lens coloboma
Definition
Not a true coloboma. Where the lens zonules in one place are absent leading to a flattening of part of the lens. May be due to a true ciliary body coloboma or tumor.
Term
Posterior embryotoxin
Definition
An anteriorly displaced schwalbe's line. Part of axenfeld/reiger
Term
Axenfeld anomaly
Definition
Posterior embryotoxin and peripheral iris processes
Term
Axenfeld syndrome
Definition
Posterior embryotoxin and peripheral iris processes WITH increased IOP and glaucoma
Term
Alagille's syndrome
Definition
Axenfeld's anomaly plus pigmentary retinopathy which may involve jaundice/liver disease
Term
Ehlers Danlos syndrome
Definition
Disease of collagen degeneration with blue or violet sclera, hyperflexible joints, and loose skin
Term
Leukoma
Definition
An opacified cornea
Term
Krukenberg spindle
Definition
When pigment spills into the anterior chamber and collects in a line
Term
Iris atrophy/hypoplasia
Definition
A thinning of iris that can lead to holes or tears
Term
Reigers anomaly
Definition
Posterior embryotoxin, iris processes, and iris atrophy/hypoplasia
Term
Reigers syndrome
Definition
Posterior embryotoxin, iris processes, and iris atrophy/hypoplasia AND systemic developmental anomalies (of the face, head, teeth, and skeleton)
Term
Type 1 Peter's anomaly
Definition
Corneal leukoma caused by scarring with central iris attachment to the leukoma and possible lens involvement
Term
Type 2 Peter's anomaly
Definition
Corneal leukoma caused by scarring with lens involvement (cataract, abnormal position or prominent zonules)
Term
AN1 (aniridia type one)
Definition
A complete lack of iris tissue (or a small stump)that is inherited autosomal dominant
Term
AN2 (aniridia type two)
Definition
A complete lack of iris (or small stump)that is sporadic and often associated with Wilms' tumor
Term
AN3 (aniridia type three)
Definition
A complete lack of iris (or small stump) that is inherited autosomal recessive. Often associated with Gillespies' syndrome
Term
Mittendorf dot
Definition
A small remnant of hyaloid artery/tunica vasculosa lentis that is on the posterior surface of the lens
Term
Persistent pupillary membrane type 1
Definition
Remnants of tunica vasculosa lentis that attach to the iris and may span or dangle in the pupil
Term
Persistent pupillary membrane type 2
Definition
Remnants of tunica vasculosa lentis that attachs to the iris AND has irido-lenticular adhesions
Term
Involutional Ectropion
Definition
An outward turning of the lid due to age
Term
Tylosis
Definition
Thickening of the eyelid
Term
Cicatricial ectropion
Definition
An outward turning of the lid due to scarring
Term
Acute spactic entropion
Definition
An inward turning of the lid due to facial spasm
Term
Hordeolum
Definition
Infection of any eyelid gland. Internal is usually meibomian glands, and external zeis or moll.
Term
Chalazion
Definition
A chronic sterile granulomatous inflammatory lesion caused by sabaceous excretions. (Painless, firm, immobile)
Term
Epidermoid cyst
Definition
Superficial nodule due to over-proliferation of epidermal cells. Firm, mobile, skin or light toned
Term
Cyst of zeis
Definition
Sabaceous cysts caused by blockage of pilosabaceous units. Small and full of keratin, epithelial cells, fat, and cholestrin. The keratin plug must be removed!
Term
Cysts of moll
Definition
Sudoiferous cyst/apocrine hidrocystoma. A distended cyst that is due to overproduction of apocrine secretory glands. So the cyst is translucent and full of sweat.
Term
Eccrine Hidrocystoma
Definition
Benign cystic lesion of the eccrine sweat gland. Flat, amber colored, and periorbital. Smith type is solitary, Robinson type is muliple. Change with the weather.
Term
Syringoma
Definition
Neoplasm of the gland epithelium of eccrine glands. Appear during puberty as areas of thickened skin
Term
Milia
Definition
Occlusions of pilosebaceous units that are tiny. Primary milia are congenital, secondary are called dermabrasion.
Term
Comedomes
Definition
Black heads or white heads associated with acne vulgaris. Have keratin and sebum plugs in hair follicles and pores.
Term
Squamous papilloma
Definition
An overgrowth of epithelium that is of non-viral origin. Have vascular cores and may be sessile (flat) or pedunculated (stalk)
Term
Verrucae vulgaris
Definition
Viral papilloma that can be verruca plana (flat) or verruca digitata (finger like). Most often due to types 6, 11, and 16 HPV.
Term
Seborrheic keratosis
Definition
Basal cell papilloma or senile verruca. It looks like a raisin on the skin. NO malignant potential. May be part of sign of Lesser-Trelat (which is a sign of deeper malignancy)
Term
Actinic keratosis
Definition
Solar or senile keratosis. Most common precancerous skin lesion and due to UV exposure. Are overgrowths of keratin surrounded by redness.
Term
Keratocanthoma
Definition
Molluscum sebaceum. A keratinous lesion due to sun exposure in the immunocompromised which forms a cutaneous horn. May turn into a carcinoma. May also be inherited and multiple (Ferguson-smith syndrome)
Term
Acquired melanocytic nevus (blue)
Definition
Discolorations of the skin with possible potential for malignancy. Derived from proliferation of dermal melanocytes
Term
Acquired melanocytic nevus (Junctional)
Definition
Discolorations of the skin with possible potential for malignancy. Derived from epidermal melanocytes and light in color found in the superior skin
Term
Acquired melanocytic nevus (Compound)
Definition
Discolorations of the skin with possible potential for malignancy. due to epidermal melanocytes spreading from epidermis to dermis. Darker in color.
Term
Acquired melanocytic nevus (Intradermal)
Definition
Discolorations of the skin with possible potential for malignancy. Due to epidermal melanocytes. May be confused for squamous papillomas and cysts of zeis. BUT they have vessels running along them and are filled with a different material than those lesions.
Term
Kissing/split nevus
Definition
A congenital nevus that affects upper and lower lid margins
Term
Cutaneous capillary hemangioma
Definition
A hamartoma of capillary blood vessels and the most common pediatric eyelid/orbital tumor. Located in the epidermis and are bright red.
Term
Purely preseptal capillary hemangioma
Definition
A hamartoma of capillary blood vessels and the most common pediatric eyelid/orbital tumor. In the lid connective tissue and are blue and purple in color.
Term
Preseptal capillary hemangioma with extraconal element
Definition
A hamartoma of capillary blood vessels and the most common pediatric eyelid/orbital tumor. Located in the lid connective tissue with some involvement outside the EOMSs but within the orbit
Term
Combination capillary hemangioma
Definition
A hamartoma of capillary blood vessels and the most common pediatric eyelid/orbital tumor. May have cutaneous, preseptal, extraconal or intraconal involvement
Term
Hamartoma
Definition
Benign growth of disorganized cells normally found in that area
Term
Port wine stain
Definition
Nevus flammeus.A congenital subcutaneous venous malformation which results in dilation and reddening of the skin that will not blanch with pressure and follow dermatomes. May be related to Sturge Weber syndrome which may affect the face eyes or brain on the same side as the stain.
Term
Pyogenic granuloma
Definition
A lobulated capillary hemangioma full of capillary and granular tissue that forms as a result of chronic inflammation or irritation.
Term
xanthelasma
Definition
Slightly elevated creamy plaques on the eyelid that are an accumulation of lipid histocytes
Term
Pilomatricoma
Definition
A soft firm and pinkish nodule that forms because of backup of hair cells that occur mostly in white females
Term
Christmas tree cataract
Definition
A lens opacity in the shape of a christmas tree that is often associated with Myotonic dystrophy
Term
Discrete Neurofibroma
Definition
a small soft nodule or large pedunculated flabby lesion that consists of a nerve sheath tumor
Term
Diffuse plexiform neurofibroma
Definition
A nerve sheath tumor that infilatrates surrounding structures
Term
Nodular plexiform neurofibroma
Definition
A nerve sheath tumor that feels like a bag of worms and looks like worms under the skin. May cause an S shaped ptosis
Term
Ephelis
Definition
Freckles. (due to overactive melanocytes)
Term
Nevus of ota
Definition
A form of melanocytosis (oculodermal) which causes a violet coloration to the sclera and uveal track and eyelid.
Term
Basal cell carcinoma
Definition
A tumor of the basal cells that are very common and rarely metastasize. Have a central ulceration with a pearly firm appearance, lack of lashes, and vessel growth
Term
Squamous cell carcinoma
Definition
A locally invasive and metastatic eyelid tumor of the squamous cells that often develop from actinic keratosis. May be scaly, red, varying in color (even to black) or have a cutaneous horn
Term
Sebaceous cell carcinoma
Definition
A tumor of sebaceous (glandular) cells. HIGHLY malignant and may be confused as recurrent chalazion or appear like chronic unilateral blepharitis (not a real thing). Also may show a lack of lashes or cause depigmentation of lashes or tylosis
Term
Malignant melanoma
Definition
A lethal primary skin tumor. May be a plaque or nodule that is darkly colored with feed vessels and a degree of irregularity and elevation
Term
Merkel cell carcinoma
Definition
A rapidly growing and highly vascularized tumor (reddish purple) that occurs mostly in fair skinned people. Due to UV exposure or immune suppression. Can be deadly
Term
Kaposi sarcoma
Definition
A soft tissue tumor that is violet in color and painless which is associated with HIV/AIDS and is very malignant
Term
Trichiasis
Definition
A misdirected eyelash
Term
Distichiasis
Definition
A second row of lashes either due to metaplasia of meibomian glands (acquired) or complete developmental differentiation of meibomian glands into pilosebaceous units (congenital) which is associated with lymphadenopathy
Term
Eyelash ptosis
Definition
Lashes that hang or sag down, typically due to changes in lid position like facial palsy
Term
Trichomegaly
Definition
Excessive and disorganized lash growth.
Term
Madarosis
Definition
Loss of eyelashes (and occasionally eyebrows) due to actual pulling out of the lashes or other conditions and diseases
Term
Poliosis
Definition
Absence of melanin in the eyelashes or eyebrows
Term
Chemosis
Definition
Swelling/edema of the bulbar conjunctiva
Term
Papillae
Definition
Local inflammatory change on the conjunctiva that have a central vascular core. Often on superior palpebra conj.
Term
Follicles
Definition
Lymph filled vessels in the conjunctiva. Often in the inferior fornix
Term
Rhinoconjunctivitis
Definition
Inflamed and runny nose with inflamed conjunctiva. Either seasonal or perennial (all year long)
Term
Atopic keratoconjunctivitis
Definition
Conjunctivitis in a person predisposed to allergic reactions. May have a puffier and more edematous lid appearance, corneal and conjunctival scarring, featureless conjunctiva, neovascularization or pannus and other symptoms. NEED oral treatments.
Term
irritant Contact dermatitis
Definition
A contact allergy that is t-cell mediated in response to some irritant like soaps or fabric softner
Term
Allergic contact dermatitis
Definition
A contact allergic response (t-cell mediated) due to an allergen that occurs fast and is due to things like dust or dog dander
Term
Photo-contact dermatitis
Definition
A allergic contact t-cell mediated response due to allergens or irritants that make the body sensitive to UV radiation
Term
Phyto-photo contact dermatitis
Definition
A allergic contact t-cell mediated response due to allergens or irritants that are plants that make the body sensitive to UV radiation
Term
Vernal keratoconjunctivitis
Definition
Large cobblestone papillae and thick ropy mucus discharge that occurs in the spring in summer in young african american males unrelated to particular allergens. May have macro erosions and limbal papillae or follicles which resolve into white spots called Trantas dots. May also have pseudogerontoxon
Term
Pseudogerontoxon
Definition
An opaque band around the cornea that isnt arcus sinilis and is related to VKC
Term
Giant papillary conjunctivitis
Definition
Papillae over 1 mm in size that form as a response to a foreign body or contact lens. Eyes will itch when the lenses are removed!
Term
Impetigo
Definition
Contagious skin infection that presents as sores or blisters on the face and hands usually in children. Strep versions are red bumps, staph versions are larger and clear bumps which progress to cloudy or crusty looking lesions. Can cause sepsis
Term
Erysipelas
Definition
St. Anthony's fire. A superficial strep skin infection that is well demarcated, red, and hot to the touch. May also be raised and shiny.
Term
Necrotizing fasciitis
Definition
A flesh eating bacterial infection with necrosis. Looks large black and angry. Most often happens post-surgically and is due to group a beta hemolytic streptococci usually. More common in the immunocompromised.
Term
Molluscum
Definition
Small highly contageous lesions caused by the pox viris that have umbilicated centers and are often grouped. May lead to follicular conjunctivitis if on the upper lid.
Term
Anterior blepharitis
Definition
Infection or hypersensitivity (mostly staph or sebboreic related) of the lids and lashes anterior to the lash line. May be crusty or oily.
Term
Posterior blepharitis
Definition
Infection or hypersensitivity (mostly staph or sebboreic related) of the lids and lashes posterior to the lash line (including meibomian glands). May be crusty or oily and have capped glands or a frothy appearance.
Term
Pthiriasis palpebrum
Definition
Crab lice infection. May itch and present with blood tinged lid margin.
Term
Demodex blepharitis
Definition
Blepharitis related to the demodex mite which feeds on bacteria and causes immune response by its presence as well as its waste products.
Term
Rosacea
Definition
A dematologic condition of the midface related to hypersensitive immune response that presents with redness and telangiectasia, papules, pustles, or rhinophyma. Can cause blepharitis, infiltrates, conjunctivitis, pannus, or dry eye.
Term
Angular blepharitis
Definition
Irritation and infection of the canthus (temporal, usually) typically caused by moraxella lacunata or s. aureus. The moraxella variety is wet and appears frothy.
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