NR602 Midterm
What is a chalazion? ANS: Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion? ANS: Blockage of the meibomian gland
What puts a person at risk for a chalazion? ANS: Hordeolum or any condition which may impede flow
through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? ANS: Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? ANS: Good eye hygiene
What is treatment for chalazion? ANS: Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? ANS: In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? ANS: Inflammation/infection of the lid margins (chronic problem)
,What are the two types of blepharitis? ANS: Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? ANS: Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? ANS: Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? ANS: Infection w/staph or strep
What are s/s of ulcerative blepharitis? ANS: Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis? ANS: Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
, How are infected eyelids with blepharitis treated? ANS: Antistaph abx: bacitracin, erythromycin 0.05%
x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated? ANS: Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? ANS: Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds? ANS: Bacteria
What are some common causes of bacterial conjunctivitis? ANS: Contact lenses
Rubbing eyes
Trauma
What are s/s of bacterial conjunctivitis? ANS: Purulent (green/yellow) drainage, initially unilateral, then
bilat
Sensation of FB is common
Redness
Crust/matted eyelids in AM
How long does bacterial conjunctivitis usually last? ANS: 5-7 days (self-limiting)
What is a chalazion? ANS: Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion? ANS: Blockage of the meibomian gland
What puts a person at risk for a chalazion? ANS: Hordeolum or any condition which may impede flow
through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? ANS: Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? ANS: Good eye hygiene
What is treatment for chalazion? ANS: Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? ANS: In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? ANS: Inflammation/infection of the lid margins (chronic problem)
,What are the two types of blepharitis? ANS: Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? ANS: Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? ANS: Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? ANS: Infection w/staph or strep
What are s/s of ulcerative blepharitis? ANS: Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis? ANS: Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
, How are infected eyelids with blepharitis treated? ANS: Antistaph abx: bacitracin, erythromycin 0.05%
x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated? ANS: Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? ANS: Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds? ANS: Bacteria
What are some common causes of bacterial conjunctivitis? ANS: Contact lenses
Rubbing eyes
Trauma
What are s/s of bacterial conjunctivitis? ANS: Purulent (green/yellow) drainage, initially unilateral, then
bilat
Sensation of FB is common
Redness
Crust/matted eyelids in AM
How long does bacterial conjunctivitis usually last? ANS: 5-7 days (self-limiting)
