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eye lashes
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41
Health Care
Graduate
08/17/2009

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Term
HORDEOLUM: AKA:
2 TYPES:
Definition
acute inflam/infection of a gland of the eyelid. AKA stye
2 types: internal/external (smaller)
Term
Hordeolum etiology
Definition
staph aureus/epidermitis
Term
which gland is affected in internal hordeolum?
Definition
meibomian gland
Term
which gland for external hordeolum?
Definition
Zeis & Moll; ciliary glands
Term
hordeolum persent with pain?
Definition
yes
Term
hordeolum affect vision?
Definition
no
Term
hordeolum produce discharge once opened?
Definition
yes
Term
hordeolum treatment
Definition
warm compresses 10-15 minutes 4 times/day

infections usually heal themselves

incision indicated if no resolution wn 48hrs
Term
when is visual accuity test waranted?
Definition
with ANY eye problem
Term
hordeolum can become _________ when it hardens.
Definition
chalazion
Term
Chalazion:
treatment:
Definition
hard, nonpainful, blackage of a meiboian or zeis gland of the eye lid

treatment: 25% resolve wo intervention
warm compresses 10-15minutes 4x/d
>1month persist = referal for steroid treatment
Term
chalazion consists of:
Definition
many types of steroid responsive immune cells
Term
differentiate chalazion from tumor.
Definition
chalazion not fixed, its mobile, not attached to skin.
Term
Blepharitis:
Definition
chronic inflamm. of eye lids
Term
anterior blepharitis involves:
Definition
eye lid skin, eye lashes and assoc. glands
Term
posterior blepharitis involves:
Definition
meiobian glands
Term
infectious blepharitis caused by:
Definition
Staph
Term
non-infectious blepharitis caused by:
Definition
xs oil production, dirty eye lids
Term
anterior blepharitis caused by:
Definition
bacteria, dermatitis, allergies, psoriasis
Term
posterior blepharitis caused by:
Definition
meiboian gland dysfxn, acne rosacea, dermatitis, allergies
Term
posterior blepharitis has strong assoc. w.
Definition
Acne rosacea
Term
pathophysiology of blepharitis:
Definition
xs lipid production
Term
risk factors for blepharitis and xs oil production:
Definition
candida, dermatitis, acne rosacea, diabetes millitus, immunocompromised
Term
symptoms of blepharitis:
Definition
itching, burning, worse in AM,
Term
blepharitis treatment:
Definition
eyelid scrubs (tear free shampoo)
moderate to severe cases: antibiotic ointment
Term
describe three layers of tears:
Definition
1. outter oily layer: meiboian
2. mid watery layer: bulk, conjuctival/lacrimal glands
3. inner mucinous layer: conjuctive goblet cells; adheres to cornea
Term
Dacryocyctitis
Definition
inflammation of the lacrimal sac
Term
which age group most common for dacryocystitis?
Definition
>40
Term
presentation of dacryocystitis:
Definition
P,R,S, tears, possible fever, possible discharge, secondary conjuctivitis
Term
dacryocystitis treatment:
Definition
warm compresses 10-15minutes 4x/d
febrile=antibiotics
may req surgery in adults
children usually non-infectious (congential) and heals on its own; mom pushes downward to open up nasolacrimal duct
Term
what is the most common valve that is blocked within the nasolacrimal duct of dacryocystitis?
Definition
valve of Hasner
Term
dacryostenosis
Definition
nasolacrimal duct obstruction
Term
treatment for dacryostenosis:
Definition
lacrimal duct massages 2-3x/d
90% resolve wn 6 mo
no resolution = opthalmologist referal
tear duct canalization
Term
dacryocystocele
Definition
noted shortly after birth
proximal and distal portions of nasolacrimal sys are obsrtucted
urgent refer to opthalmologist
Term
Entropion
Definition
inversion of eyelid
Term
most common cause of entropion
Definition
aging
Term
complications of entropion
Definition
lead to cornea issues from lashes against cornea
Term
treatment of entropion
Definition
surgery, botox, lubricants
Term
ectropion
Definition
eversion of eyelid
Term
etiology of ectropion
Definition
paralysis, tumor, fat, burns, surgery
Term
ectropion treatment
Definition
sugery, lubricants
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