BLEPHARITIS
Blepharitis is a chronic inflammation of the lid margins.
Etiology
1. It follows chronic conjunctivitis due to Staphyloccocus in
debilitated children usually who are living in poor hygienic
conditions.
2. Parasites such as Demodex folliculorum, Phthiriasis
palpebrarum, crab louse, head louse also cause blepharitis.
A stye is an infection (abcess) of one of the small oil producing glands lining the eyelid, usually caused by the bacteria that are normally found along the eyelids.
A stye can occur on either the upper or lower eyelid.
There are two types of styes, internal and external hordeola.
An internal hordeolum (stye) is a bacterial infection of the meibomian glands inside the eyelids.
Internal styes tend to be more severe and occur a little less often than an external hordeolum.
An external hordeolum (stye) is a bacterial infection of the Glands of Zeis and/or Glands of Moll inside the eyelids.
This type of stye is more superficial and tends to heal more readily.
It is a chronic lipogranulomatous inflammatory lesion caused by blockage of meibomian gland orifices and stagnation of sebaceous secretion.
Patient with acne rosacea or seborhoeic dermatitis are at increased risk of chalazion formation which may be multiple or recurrent.
If it is recurrent, one should think of sebaceous gland carcinoma
Ectropion
It is an outward turning of the eyelid margin . This more frequently affects the lower eyelid.Upper eyelid ectropion is uncommon.Classified in 5 types
1)Congenital 2) Involutional 3) Paralytic 4) Cicatricial 5) Mechanical
Involutional ectropion is more common.Congenital ectropion is very rare.
Symptoms Epiphora :- excessive tearing.Excessive dryness.
Foreign body sensation Irritation.Burning.Redness.Chronic conjunctivitis KeratinizationCorneal exposure
Grading
Lid margin is out rolled and depending on out rolling ectropion can be classified as under:
Grade I –only punctum is everted
Grade II –lid margin is everted and palpebral conjunctiva is visible
Grade III –fornix is also visible
Etiological factors
Horizontal lid laxity:-can be demonstrated by pulling the central part of the lid 8 mm or more from the globe, with a failure to snap back to its normal position on release without the patient first blinking.
Medial canthal tendon laxity
demonstrated by pulling the lower lid laterally and observing the position of the inferior punctum If the lid is normal the punctum should not be displaced more than 1–2 mm
Lateral canthal tendon laxity
characterized by a rounded appearance of the lateral canthus and the ability to pull the lower lid medially more than 2 mm.
>Normally, the displacement should only be 0-2 mm.
Treatment
1 medical therapy
2 surgical therapy
Simple eye education for EHW, Ophthalmic eye student, school eye education & first - second year optometry students only .
common eye lid inflammatory conditions .
stye or hordeolum ( external / internal hordeolum ), lid abscess , chalazion or mebomian retention cyst, accessory lacrimal glands , lacrimal gland etc...
The eyelids are mobile tissue curtains placed in front of the eyeballs. These act as shutters protecting the eyes from injuries and excessive light. These also perform an important function of spreading the tear film over the cornea and conjunctiva and also help in drainage of tears by lacrimal pump system.
Ectropion
It is an outward turning of the eyelid margin . This more frequently affects the lower eyelid.Upper eyelid ectropion is uncommon.Classified in 5 types
1)Congenital 2) Involutional 3) Paralytic 4) Cicatricial 5) Mechanical
Involutional ectropion is more common.Congenital ectropion is very rare.
Symptoms Epiphora :- excessive tearing.Excessive dryness.
Foreign body sensation Irritation.Burning.Redness.Chronic conjunctivitis KeratinizationCorneal exposure
Grading
Lid margin is out rolled and depending on out rolling ectropion can be classified as under:
Grade I –only punctum is everted
Grade II –lid margin is everted and palpebral conjunctiva is visible
Grade III –fornix is also visible
Etiological factors
Horizontal lid laxity:-can be demonstrated by pulling the central part of the lid 8 mm or more from the globe, with a failure to snap back to its normal position on release without the patient first blinking.
Medial canthal tendon laxity
demonstrated by pulling the lower lid laterally and observing the position of the inferior punctum If the lid is normal the punctum should not be displaced more than 1–2 mm
Lateral canthal tendon laxity
characterized by a rounded appearance of the lateral canthus and the ability to pull the lower lid medially more than 2 mm.
>Normally, the displacement should only be 0-2 mm.
Treatment
1 medical therapy
2 surgical therapy
Simple eye education for EHW, Ophthalmic eye student, school eye education & first - second year optometry students only .
common eye lid inflammatory conditions .
stye or hordeolum ( external / internal hordeolum ), lid abscess , chalazion or mebomian retention cyst, accessory lacrimal glands , lacrimal gland etc...
The eyelids are mobile tissue curtains placed in front of the eyeballs. These act as shutters protecting the eyes from injuries and excessive light. These also perform an important function of spreading the tear film over the cornea and conjunctiva and also help in drainage of tears by lacrimal pump system.
Diseases of eyelids like Epicanthus, entropian, ectropian, Telecanthus,lid co...MGM Eye Institute
Eyelid diseases encompass a range of conditions affecting the delicate tissues surrounding the eye. From common issues like blepharitis to more severe conditions like eyelid tumors, these ailments can impact vision and overall eye health. Understanding their causes, symptoms, and treatments is crucial for proper management and prevention.
This slide contains information regarding corneal ulcer and glaucoma. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
Strabismus is misalignment of the visual axes of the two eyes.
The inability of the two eyes to simultaneously direct their foveae at a common object of regard, occasionally or always.
May be accompanied by abnormal motility, double vision, decreased vision, ocular discomfort, headaches, or abnormal head posture.
The best optical correction is the starting point.
i. Helps to provide a sharp well focussed retinal image which helps fusional control and proper development of binocular vision.
ii. Corrects and maintains the relationship between accommodation and convergence mechanisms.
Spectacle magnifier is high power plus lens to magnify retinal images by providing a form of relative distance magnification.
Have front vertex power greater than that used as a conventional reading addition.
The object is held within the focal length of a lens in order to obtain a magnified & erected image.
Increases the front vertex power , enabling a close working distance without placing extra demands on accommodation.
The magnifier acts as a converging system to neutralize the rays created by the close WD.
The oculomotor nucleus complex present in the midbrain, at the level of the superior colliculus
Contains Main motor nucleus and Accessory parasympathetic nucleus (Edinger-Westphal nucleus)
Fibers pass between the posterior cerebral artery and the superior cerebellar artery to reach the cavernous sinus.
During this course, the oculomotor nerve lies lateral to the posterior communicating artery.
The nerve then divides into a superior and inferior division and enters the orbit through the superior orbital fissure
Third nerve palsy results from dysfunction of the nerve along its pathway from the midbrain to the extraocular muscles it innervates.
Third nerve palsies can cause dysfunction of the somatic muscles (SR ,IR,MR,IO, levator palpebral superioris) and autonomic muscles (the pupillary sphincter and ciliary muscle.)
classification
1. Complete or incomplete palsy
Complete: Involves both superior and inferior divisions of the nerve.
Incomplete: Involves superior division, inferior division (rarely), or an isolated muscle
2. Total palsy or partial paresis
● Total: Full restriction of extraocular muscles is present.
● Partial: Restriction of extraocular muscles is limited.
3. Pupil-involving or pupil-sparing palsy
● Pupil involving: Pupil is dilated, with an accommodative insufficiency.
● Pupil sparing: Pupil and accommodative function are normal.
The word Vulnerability is derived from a Latin verb “vulnerare” which means “to cause damage or injury”. vulnerability refers to “the tendency of something to be damaged.
The Oxford English Dictionary defines “vulnerability” as “the quality or state of being exposed to the possibility of being attacked or harmed, either physically or emotionally.
Vulnerable groups are physically, mentally, or socially disadvantaged persons who may be unable to meet their basic needs and may therefore require specific assistance.
Refer to segments of the population that are more susceptible to experiencing harm, discrimination, or disadvantage due to various factors such as their social, economic, geographic location, or physical circumstances. These groups may face increased risks, have limited access to resources or opportunities, and require specific support and protection to ensure their well-being and equal participation in society.
Vulnerable groups can vary across different contexts, but some common examples include children, elderly, persons with disabilities, women and girls, ethnic and racial minorities, immigrants and migrants, refugees and displaced persons etc.
It is important to note that these groups are not mutually exclusive, and individuals can belong to multiple vulnerable groups simultaneously.
Persons who are relatively or absolutely incapable of protecting their own interests.
They may have insufficient power, intelligence, resources, strength or other needed attributes to protect their own interests through informed consent.
limited capacity or freedom to give or decline consent.
Each person when measured against the highest standards of capability is relatively vulnerable.
Trabeculectomy is an incisional procedure in which a fistula is created between the anterior chamber and the subconjunctival space, bypassing the normal aqueous outflow pathway.
Initially performed as a full-thickness (“unguarded”) procedure.
High complication rates related to hypotony led to a major evolution in the surgical technique.
The fistula is now created under a partial-thickness flap of sclera (“guarding” the flow of aqueous) as a means of providing some resistance to aqueous flow through the fistula.
The retina is the sensory membrane that lines the inner surface of the back of the eyeball. It's composed of several layers, including one that contains specialized cells called photoreceptors.
Photoreceptor cells take light focused by the cornea and lens and convert it into chemical and nervous signals which are transported to visual centers in the brain by way of the optic nerve.
In the visual cortex of the brain (which, ironically, is located in the back of the brain), these signals are converted into images and visual perceptions.
Cornea is the clear front surface of the eye. It lies directly in front of the iris and pupil, and it allows light to enter the eye.
Cornea forms the transparent and anterior 1/6th of the external fibrous coat of the globe of the eyeball.
The cornea is the eye's most powerful structure for focusing light that provides approximately 65 to 75 percent of the focusing power of the eye.
The cornea has unmyelinated nerve endings sensitive to touch, temperature and chemicals; a touch of the cornea causes an involuntary reflex to close the eyelid.
Ocular involvement in HIV could be caused by opportunistic infections, vascular abnormalities, neoplasms, neuro-ophthalmic conditions, and adverse effects of medications.
Ocular involvement in HIV infection occurs most commonly due to opportunistic infections and neoplasms. But also can be due to drug related and direct infections.
Opportunistic infections like CMV retinitis occur with a significantly reduced CD4 T-cell count and are one of the common causes of blindness in HIV patients.
Unlike other diseases, ocular infection in these immunosuppressed patients is associated with minimal inflammatory signs.
HIV has been isolated from tears, cornea, vitreous, and chorioretinal tissue in affected persons.
The ocular structures affected by HIV include the adnexa, anterior segment, posterior segment, and orbit.
Neuro ophthalmological manifestations also may be seen.
The institution of highly active antiretroviral therapy (HAART) has caused a dramatic improvement in the immune status of HIV-infected individuals and a change in the clinical presentation and course of opportunistic infections.
Each eyelid contains a fibrous plate, called a tarsus, that gives it structure and shape; muscles, which move the eyelids; and meibomian (or tarsal) glands, which secrete lubricating fluids. The lids are covered with skin, lined with mucous membrane, and bordered with a fringe of hairs, the eyelashes.
The lacrimal apparatus is the physiological system containing the orbital structures for tear production and drainage. It consists of: The lacrimal gland, which secretes the tears, and its excretory ducts, which convey the fluid to the surface of the human eye;it is a serous gland located in lacrimal fossa.
The eye is remarkable sense organ that reacts to light and allows vision.The eye is made up of three coats, or layers, enclosing various anatomical structures. The outermost layer, known as the fibrous tunic, is composed of the cornea and sclera. The middle layer, known as the vascular tunic or uvea, consists of the choroid, ciliary body, pigmented epithelium and iris. The innermost is the retina, which gets its oxygenation from the blood vessels of the choroid (posteriorly) as well as the retinal vessels (anteriorly).
What is PRECEDE/PROCEED?
PRECEDE/PROCEED is a community-oriented, participatory model for creating successful community health promotion interventions.
Although we might have come across this term plenty of times during our lives, we still need to set some standards so that we can distinguish a great score from an average one.
IQ is nothing but the number that a person scores after taking one of the many standardized tests to measure the intelligence level of individuals.
Originally, the intelligence quotient was calculated as the ratio of mental age and chronological age (IQ= MA/CA x 100, where MA is mental age, CA is chronological age). However, today, intelligence scores are calibrated against values of actual population scores
The concept of health is often difficult to define and measure.
It is a broad concept and experience.
Its boundary extends beyond the "sick". It is often difficult to put a clear-cut demarcation between the "sick" and the "not sick". It depends on:
1) The perception of individuals
2) The threshold - e.g. pain
3) The ability to recognize symptoms and signs
WHO defines health as Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
Behavior- is an action that has specific frequency,
duration, and purpose, whether conscious or unconscious,
Blindness Is defined as visual acuity in the better eye after best possible correction of < 3/60 or visual field less than or equal to 10° from point of fixation .
Avoidable blindness is either preventable or treatable.
Mainly caused by ocular diseases such as cataract, refractive errors, trachoma, Onchocerciasis and some eye conditions in children.
WHO’s early efforts on blindness prevention, starting in the 1950s and predating the formal establishment of a program for the prevention of blindness .
These efforts involved providing assistance to Member States to assess the magnitude of the problem and institute control activities, several research initiatives on treatment options.
The research activities included laboratory and field studies and, based on the results, strategies were evolved for the prevention and control of trachoma.
Strabismus is a condition in which the eyes do not properly align with each other when looking at an object. The eye which is focused on an object can alternate. The condition may be present occasionally or constantly.If present during a large part of childhood, it may result in amblyopia or loss of depth perception. If onset is during adulthood, it is more likely to result in double vision.
Amblyopia is characterized by several functional abnormalities in spatial vision, including reductions in visual acuity, contrast sensitivity function, and vernier acuity, as well as spatial distortion, abnormal spatial interactions, and impaired contour detection. In addition, individuals with amblyopia suffer from binocular abnormalities such as impaired stereoacuity (stereoscopic acuity) and abnormal binocular summation
Those with strabismic amblyopia tend to show ocular motion deficits when reading, even when they use the nonamblyopic eye. In particular, they tend to make more saccades per line than persons with normal stereo vision, and to have a reduced reading speed.
This ppt file belongs to Mr. Yonas Akalu one of my best instructors ...
Vision is by far the most used of the five senses and is one of the primary means that we use to gather information from our surroundings. More than 75% of the information we receive about the world around us consists of visual information.
The eye is often compared to a camera. Each gathers light and then transforms that light into a "picture." Both also have lenses to focus the incoming light. Just as a camera focuses light onto the film to create a picture, the eye focuses light onto a specialized layer of cells, called the retina.
The human eye is an organ which reacts to light and pressure. As a sense organ, the mammalian eye allows vision. Human eyes help to provide a three dimensional, moving image, normally coloured in daylight. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth. The human eye can differentiate between about 10 million colors[1] and is possibly capable of detecting a single photon.
Allergic conjunctivitis is inflammation of the conjunctiva (the membrane covering the white part of the eye) due to allergy.Although allergens differ among patients, the most common cause is hay fever. Symptoms consist of redness (mainly due to vasodilation of the peripheral small blood vessels), edema (swelling) of the conjunctiva, itching, and increased lacrimation (production of tears). If this is combined with rhinitis, the condition is termed allergic rhinoconjunctivitis.
The symptoms are due to release of histamine and other active substances by mast cells, which stimulate dilation of blood vessels, irritate nerve endings, and increase secretion of tears.
Treatment of allergic conjunctivitis is by avoiding the allergen (e.g., avoiding grass in bloom during "hay fever season") and treatment with antihistamines, either topical (in the form of eye drops), or systemic (in the form of tablets). Antihistamines, medications that stabilize mast cells, and nonsteroidal anti-inflammatory drugs (NSAIDs) are generally safe and usually effective.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
3. There are short curved hair, the eyelashes situated on their free edges. The
layers of tissue which form the eyelids are:
• A thin covering of skin.
• A thin sheet of areolar tissue.
• Three muscles—the orbicularis oculi, levator palpebrae superioris and Muller’s
muscle.
• A thin sheet of dense connective tissue, the tarsal plate, larger in the upper
than in the
lower eyelid. It supports the other structures.
• A lining of palpebral conjunctiva.
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4. •It is about 2 mm broad and is divided into two parts by the
punctum (divided into rounded anterior and sharp posterior
borders by the grey line.
•The eyelashes originate anterior to the grey line and ducts of
the meibomian glands are located posterior to the grey line.
•Grey line is important in operations where the lid is split as it
indicates the position of loose fibrous tissue between the
orbicularis muscle and the tarsus.
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5. Meibomian Glands (Tarsal Glands)Meibomian Glands (Tarsal Glands)
These are modified sebaceous glands about
•20 -30 in number embedded in the tarsal plate.
•They are directed vertically and open on the lid margin.
Therefore vertical incision is given while incising the
chalazion.
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11. 1. Clinical features SQUAMOUS BLEPHARITIS ULCERATIVE BLEPHARITIS
i. Scales White, fine and dry Yellowing, coarse, and sticky
ii. Ulceration Absent Present
iii. Bleeding Absent Present
iv. Loss of eyelashes Few and temporary Permanent and almost all
lashes are involved
2. Course
3. Complications
Mild
Occasional
Progressive
Usual and serious
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14. Depending on the severity of the disease, one or multiple therapeutic
treatments are utilized; pharmacologic agents and mechanical
treatments are often required.
such as lid hygiene
warm compress
Antibiotics
1. Lid hygiene is essential at least twice daily and Crust removal and lid
margin cleaning with the help of cotton buds dipped in the dilute baby
shampoo or solution of 3% sodium bicarbonate.
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15. Applied to the lids for 5–10 minutes to soften the crusts,can
increase oil production and melt the oil in the meibomian
glands.
• While warm compresses are universally accepted as a
therapeutic management modality, there is no universal
recommendation regarding how to apply warm compresses
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16. Several types of topical antibiotics: drops and ointments,
some of the commonly prescribed are:
Azithromycin , usually prescribe as one drop at bed time for
one week or more.
Bacitracin ophthalmic ointment: apply to base of eyelids
one or more times a day for several days.
Erythromycin ophthalmic ointment: apply to base of eyelids
one or more times a day for several days.
Ciprofloxacine 0.3% eye drop four times per a day
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17. • ZOXAN D eye drop four times per a day
• Phenidix eye suspension three times per a day can be
prescribed
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18. •A stye is an infection (abcess) of one of the small oil producing glands
lining the eyelid, usually caused by the bacteria that are normally found
along the eyelids.
•A stye can occur on either the upper or lower eyelid.
•There are two types of styes, internal and external hordeola.
•An internal hordeolum (stye) is a bacterial infection of the meibomian
glands inside the eyelids.
Internal styes tend to be more severe and occur a little less often than an
external hordeolum.
•An external hordeolum (stye) is a bacterial infection of the Glands of
Zeis and/or Glands of Moll inside the eyelids.
This type of stye is more superficial and tends to heal more readily.05/27/19 18ጎጎጎጎ ጎጎጎጎጎ
19. • A well defined lump or bump on either upper or lower eyelid
• Localized swelling of the eyelid
• Mild pain in the eyelid
• Sensitive to touch
• Redness of the affected eyelid
• Crusting of the eyelid margins
• Burning in the eye
• Eyelid may appear full or droopy
• Mucous or watery discharge in the eye
• Irritation of the eye
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20. A red, tender, swollen bump on the
edge of the eyelid. You may be able to
see the infected gland on the eyelid or
it may be under the skin.
The infection may quickly become
quite large and painful.
The eyes are teary.
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21. • It is an acute suppurative
inflammation of lash follicle
and its associated glands of
Zeis or Moll.
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22. 1. Predisposing factors are as below:
• Age. It is more common in children and young adults (though no age is
bar) and in patients with eye strain due to muscle imbalance or
refractive errors.
•Habitual rubbing of the eyes or fingering of the lids and nose, chronic
blepharitis and diabetes mellitus are usually associated with recurrent
styes.
•Metabolic factors, chronic debility, excessive intake of carbohydrates
and alcohol also act as predisposing factors.
2. Causative organism commonly involved is staphylococcus aureus.
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23. Symptoms include acute pain associated with swelling of lid, mild
watering and photophobia.
Signs are as follows:
• Stage of cellulitis is characterised by localised, firm, red, tender
swelling at the lid margin associated with marked oedema .
Usually, there is one stye, but occasionally, these may be multiple.
•Stage of abscess formation is characterised by a visible pus point on
the lid margin in relation to the affected cilia.
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24. •Hot compresses 2–3 times a day are very useful especially in
cellulitis stage.
•Evacuation of the pus should be done by epilating the
involved cilia, when the pus point is formed.
•Surgical incision is required rarely for a large abscess.
•Antibiotic eye drops (3–4 times a day) and eye ointment (at
bed time) should be applied to control the infection.
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26. It is a suppurative inflammation of the meibomian
gland associated with blockage of the duct.
Etiology
Predisposing factors are similar to hordeolum externum
Causative mechanism. Hordeolum internum may occur as:
•Primary Staphylococcal infection of the meibomian gland or
due to
• Secondary infection in a chalazion (infected chalazion)
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27. Symptoms include acute pain associated with swelling of the lid, mild watering and
photophobia.
Thus, the symptoms are similar to hordeolum externum, except that pain is more
intense, due to the swelling being embedded deeply in the dense fibrous tissue.
SignsSigns
A localized, firm, red, tender swelling of the lid associated with marked oedema.
On examination, hordeolum internum can be differentiated from hordeolum
externum by the fact that in it, the point of maximum tenderness and swelling is
away from the lid margin and that pus usually points on the tarsal conjunctiva
(seen as yellowish area on everting the lid) and not on the root of cilia.
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28. • It is similar to hordeolum externum, except that, when pus
is formed, it should be drained by a vertical incision from
the tarsal conjunctiva.
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29. Meibomian Cyst (Chalazion)
•It is a chronic lipogranulomatous inflammatory
lesion caused by blockage of meibomian gland
orifices and stagnation of sebaceous secretion.
•Patient with acne rosacea or seborhoeic
dermatitis are at increased risk of chalazion
formation which may be multiple or recurrent.
•If it is recurrent, one should think of
sebaceous gland carcinoma
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30. 1. It is probably due to chronic irritation caused by an
organism of low virulence.
The glandular tissue is replaced by granulation tissue
containing giant cells predominantly.
2. It is often multiple in number occurring in crops.
3. It is more common in adults than in children.
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