■ Notes on eye lid diseases : ( 2nd part ) :
● TTT of rubbing lashes :
♧ electrolysis is the most commonly used for ttt
● Trichiasis of lower lid ttt by webster's operation while trichiasis with entropion ttt by snellen's operation
●Madarosis is d.t ulcerative blepharitis & Vit A deficinency
● Angular blepharitis is d.t Morax bacillus & ttt by zinc sulphate & tetracycline eye ointment
● Stye is treated surgically by horizontal incision over the skin to avoid gap while infected chalazion ttt by vertical incision over palpebral conjunctiva
● chalazion :
○it is painless swelling on the lid margin
○ skin can be pinched out & fixed to tarsus
○Multiple chalazia in UL : mechanical ptosis Multiple chalazia in LL : ectropion
● permenant tarsorrhaphy is done in cases of permenant facial paralysis
● Lateral tarsorrhapy is done in case of paralytic ectropion
● BCC of lid is the most common malginant of lid while SCC of lid is the seconed most malginant lid tumor
● TTT of rubbing lashes :
♧ electrolysis is the most commonly used for ttt
● Trichiasis of lower lid ttt by webster's operation while trichiasis with entropion ttt by snellen's operation
●Madarosis is d.t ulcerative blepharitis & Vit A deficinency
● Angular blepharitis is d.t Morax bacillus & ttt by zinc sulphate & tetracycline eye ointment
● Stye is treated surgically by horizontal incision over the skin to avoid gap while infected chalazion ttt by vertical incision over palpebral conjunctiva
● chalazion :
○it is painless swelling on the lid margin
○ skin can be pinched out & fixed to tarsus
○Multiple chalazia in UL : mechanical ptosis Multiple chalazia in LL : ectropion
● permenant tarsorrhaphy is done in cases of permenant facial paralysis
● Lateral tarsorrhapy is done in case of paralytic ectropion
● BCC of lid is the most common malginant of lid while SCC of lid is the seconed most malginant lid tumor
❤3
The most common associated with scaly blephritis is ?
Anonymous Quiz
1%
Local hypersensitivity
3%
Bacterial infection
5%
Uncorrected error of refraction
91%
Seborrheic dermatitis
The caustive organism of angular blephritis is ?
Anonymous Quiz
3%
Staph aurues
95%
Moraxella acunata
1%
Chlamydia
0%
Gonococci
Lagophthamos can caused by the following except ?
Anonymous Quiz
5%
Facial palsy
75%
Sever entropion
15%
Symblepharon
5%
Proptosis
❤1😍1
The first line of ttt in case of paralytic ectropion is ?
Anonymous Quiz
12%
TTT of the cause
38%
Corneal protection
48%
Lateral tarrorrhaphy
2%
Excision & grafting
❤2
As regarded hordeolum internum , the following false except ?
Anonymous Quiz
19%
The swelling related to eyelashes
28%
The evacaution is mandatory
12%
It resolve spotanously with no complication
41%
It forms chalazion
❤1
Stye is an acute suppurative inflammation of ?
Anonymous Quiz
5%
Meibomian gland
3%
Main Lacrimal gland
87%
Gland of the lash follicle
5%
Accessory lacrimal gland
All the following are the complication of chalazion except ?
Anonymous Quiz
61%
Anterior uveitis
21%
Irregular astigmatism
4%
Mechanical ptosis
15%
Ectropion
Rolling inward of lower lid margin is due to ?
Anonymous Quiz
15%
Scarring of lid skin
6%
Facial palsy
4%
Ophthalmoplegia
75%
Trachoma
Cicatricial ectropion of lower lid is due to excessive scarring of the skin the best treated by ?
Anonymous Quiz
5%
Skin taping
26%
Y-V procedure
54%
Skin grapting
15%
Lateral tarrsorrhapy
❤1
A patient complaining of FB sensation and watering of eyes on the examination upper lid margin could not seen , the most serious complication is ?
Anonymous Quiz
67%
Corneal ulcer
12%
Chronic conjunctivitis
21%
Chronic blephritis
0%
Chronic uveitis
A patient presents with sudden onest of 7th nerve palsy affecting all 3 facial muscles , the 1st line of TTT is
Anonymous Quiz
44%
Continous ocular lubricating
39%
Immediate lateral tarsorrahphy
8%
Immediate resection done of levator ms
10%
Corticosteriods use
😍2❤1👀1
The commenst cause of ptosis is ?
Anonymous Quiz
3%
Sympathetic paralysis
13%
3rd nerve palsy
79%
Congenital
6%
Mechanical
😍1
Ptosis may be a misdiagnosed if there is
Anonymous Quiz
39%
Ipsilateral hypotropia
31%
Facial asymmetry
12%
Contra lateral hypertropia
18%
Contra lateral enophthamos
😍1
Which of the following should be treated early as possible as ?
Anonymous Quiz
6%
Myasthenic ptosis
4%
Aquired ptosis
0%
Hysterical ptosis
89%
Severe unilateral congenital ptosis
😍1
The most important examination in cases with congenital ptosis is ?
Anonymous Quiz
70%
The fuction of levator ms
5%
The state of extraocular ms
18%
The examination of cranial nerves
8%
The examination of the fundus
A pateint come to ophthalomologist clinic complaing of defective division with sleep appearance , the DR do MRD = 2mm with good levator function which is the following operation done for patient ?
Anonymous Quiz
1%
Leavotor tucking
54%
Levator resection
12%
Sling operation
34%
Fasenella servant operation
👀9😍2
Ptosis with functiong levator ms is treated by
Anonymous Quiz
7%
Sling operation
7%
Senllen's operation
3%
Blepharoplasty
84%
Levator resection with its advancement
صباح الخير تنسوش ال notes و ال mcq على TBL
■ Eye lid diseases :-
https://t.me/med_Notes2/28
https://t.me/med_Notes2/34
■ MCQ on TBL :-
https://t.me/med_Notes2/36
■ Note on MRD :-
https://t.me/Medcology_Special_Sense/654
■ Eye lid diseases :-
https://t.me/med_Notes2/28
https://t.me/med_Notes2/34
■ MCQ on TBL :-
https://t.me/med_Notes2/36
■ Note on MRD :-
https://t.me/Medcology_Special_Sense/654
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" NOTES"
■ Notes on eye lid diseases : ( 1st part )
● congenital ptosis is the most common cause of ptosis and usually bilateral with abscent lid crease
● Apponeurotic ptosis is the most common cause of aquired ptosis
● CI of surgical TTT of ptosis :-
☆ Complete…
● congenital ptosis is the most common cause of ptosis and usually bilateral with abscent lid crease
● Apponeurotic ptosis is the most common cause of aquired ptosis
● CI of surgical TTT of ptosis :-
☆ Complete…
" Clinical Notes " pinned «صباح الخير تنسوش ال notes و ال mcq على TBL ■ Eye lid diseases :- https://t.me/med_Notes2/28 https://t.me/med_Notes2/34 ■ MCQ on TBL :- https://t.me/med_Notes2/36 ■ Note on MRD :- https://t.me/Medcology_Special_Sense/654»