II Modules 1&2 Correctly Answered!
1. Non-Ulcerative: A/W seborrhea; seen commonly with trisomy 21; affects those with
psoriasis, seborrhea, eczema, allergies and lice. Chemical and environmental irritants
contribute
Ulcerative:Involves the lash follicle & the Meibomian glands of the eyelid.May be pustules
at the base of the hair follicle that crust & bleed.Lashes break easy.
Blepharitis
2. Blepharitis treatment
TX: Warm compress; daily lid scrubs; erythromycin, quinolone or bacitracin ophthalmic
ointment for anterior blepharitis.
Consider oral ABX for resistance (Doxycycline or Tetracycline)
Disinfect contacts
Lid massages
3. hordeolum age group?
More common in children and adolescents
4. hordeolum s/s?
, Localized tenderness, erythema, edema of eyelids;
internal lesions pointing to external or internal eyelid surface; external lesions pointing to
eyelid margin
Pain
Ocular rosacea
Contact dermatitis,
Atopic Kerato-conjunctivitis,
Herpes simplex infection,
Preseptal cellulitis,
Acute dacryocystitis,
differentials of hordeolum
,differentials of hordeolum
blepharitis
Sebaceous carcinoma,
Basal cell carcinoma,
Squamous cell carcinoma,
Dry eye syndrome,
Conjunctivitis,
blepharitis
Ocular burning, eyelid margins red w/ scaling or crusting
, Pain
Itching, tearing, chalazia, recurrent styes, photophobia, small ulceration at eyelid margin,
broken or absent eyelashes
hordeolum
(stye) red, painful pustule that is a localized infection of hair follicle at eyelid margin. The
most common associated organism is Staphylococcus aureus
TX: Warm compress; lid scrubs for recurrent lesions
Hordeolum tx
chalazion