Term
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Definition
| In regards to blepharitis, a collarette is a crust that encircles the lash. |
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Term
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Definition
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Term
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Definition
| When lashes are misdirected and they scratch the cornea |
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Term
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Definition
| Punctate Epithelial Erosions |
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Term
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Definition
| Superficial Punctate Keratopathy (corneal inflammation) |
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Term
| Which class of antibiotic is Erythromycin? |
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Definition
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Term
| Which class of antibiotic is Gentamicin? |
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Definition
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Term
| Which class of antibiotic is Tobramycin? |
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Definition
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Term
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Definition
A raised, (you can flick it) white lesion on conj, limbus or cornea.
A result of hypersensitivity to staph toxins |
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Term
| Differentiate between anterior and posterior blepharitis |
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Definition
Anterior blepharitis is inflammation around the eyelashes and follices
Posterior involved the meibomian glands and gland orifices. |
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Term
| What is another name for Posterior Blepharitis? |
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Definition
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Term
| What substance do bacteria produce that causes inflammation that is characteristic of blepharitis? |
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Definition
Bacteria produce lipase which breaks down lipids in the tears.
The fatty acids that are produced consequently trigger inflammation |
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Term
| What is the first step in treatment of Staphylococcal Blepharitis? |
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Definition
| Warm compresses and lid scrubs-->maintaining lid hygiene to get rid of crusts and bacteria and also to increase circulation to the lid. |
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Term
| What steps should be taken to treat severe blepharitis? |
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Definition
Antibiotic lid ointments and possibly oral antibiotics for 7-10 if necessary.
Tetracyclines are recommended, especially Doxycycline |
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Term
| Describe what a staph-blepharitis associated marginal infiltrate is and where it can be found. |
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Definition
Marginal infiltrate is the result of an infection that causes the transport of white blood cells into the cornea. Basically the antigens from the bacteria bind to antibodies. These antibodies activate the complement system which brings in white blood cells that accumulate and form a white spot.
It is found between the epithelium and stroma of the cornea. |
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Term
| How do we treat Staph-Blepharitis associated Marginal Infiltrate? |
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Definition
In addition to the regular means of treating blepharitis the patient should be given either a topical steroid or a topical steroid/antibiotic combo (Tobradeex, Zylet).
(Every 2 hours - 4x/day)
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Term
| How do we treat Staph-Blepharitis Associated Phlyctenule? |
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Definition
Same as a marginal infiltrate, with either a topical steroid or a topical steroid/antibiotic combo
-q2h -qid |
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Term
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Definition
| a Seborreic blepharitis with an additional Staphy infection |
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Term
| How do we treat mixed blepharitis? |
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Definition
| Same as a Staph blepharitis-with lids scrubs and hot compresses to start, antibiotics if the case warrants it. |
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Term
| Differentiate between Seborrheic and Staphylococcal Blepharitis |
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Definition
Both will cause crusts and flakes to form around the lashes and lids.
Seborrheic is characterized by oily, greasy substances, much like dandruff.
Staph blepharitis is characterized by less oily crusts, pus etc. |
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Term
| What condition is commonly associated with Seborrheic blepharitis? |
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Definition
| Seborrheic dermatitis: lots of sebaceous glands on the head accompanied by dandruff. |
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Term
| How is seborrheic blepharitis treated? |
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Definition
Simply lid hygiene as well as education regarding lid hygiene. Also can give lubricants to alleviate the dry eye often associated with this condition.
No antibiotics are necessary for this condition. |
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Term
| Name the type of blepharitis characterized by dry and scaly inflammation localized at the outer canthus and sometimes the medial canthus as well. |
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Definition
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Term
| Name the type of blepharitis associated with wet inflammation at the canthus and macerated lids with a whitish, frothy discharge. |
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Definition
| Moraxella form of Angular blepharitis |
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Term
| How do we treat Angular Blepharitis? |
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Definition
| With an antibiotic ointment, which ointment is used is dependent on the bacteria involved in the infection. |
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Term
| What does each letter stand for in SOAP and what silent letter should follow this format? |
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Definition
S=Subjective
O=Objective
A=Assessment
P=Plan
Silent E=Education |
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