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1. DISEASES OF THE EYELIDS

2. Blepharitis
Stye [ Hordeolum ]
Chalazion
INFLAMMATIONS

3. It Is The Subacute Or Chronic Inflammation Of The
Eyelid.
Causes
 It’s Main Cause Is Poor Hygienic Condition.
 Irritation From Cosmetics , Dust , Smoke.
 Dandruff Of The Scalp.
 Chronic Conjunctivitis.
BLEPHARITIS

5. Anterior Blepharitis Posterior Blepharitis
Or
Meibomianitis
 Squamous Blepharitis
 Ulcerative Blepharitis
TYPES OF BLEPHARITIS

6.  It Is The Inflammation Of Anterior Lid Margin.
 It Is Usually Bilateral.
Squamous Blepharitis
 It Is Characterized By Hyperemia [ Redness ], Ususally Limitrd To
The Eyelid Margin.
Symptoms
 Redness Of The Eyelid Margin
 Irritation
 Falling Of Eyelashes
 Discomfort Of The Eyes
 Watering
ANTERIOR BLEPHARITIS

7. Signs
 White Dandruff Like Scales On The Lid Margin.
 Madarosis .
 Tylosis [ Thickening Of Eye Lid Margin ].
Treatment
 Lid Hygiene
 Warm Compressors
 Anti Biotic + Steroid Eye Ointment

8.  It Is Caused By Acute Or Chronic Suppurative
Inflammation
Of The Fallicles Of The Eyelashes.
Causative Agent - Staphylococcus Aureus
Symptoms
 Itching
 Redness [ In Lid Margin ]
 Swelling Of Lid Margin.
 Loss Of Eyelashes.
 Mild Lacrimation.
ULCERATIVE BLEPHARITIS

9. Signs
 Yellow Crusts Are Seen In The Roots Of Eyelashes.
 Eyelashes Are Gleud To Each Other.
 Loss Of Cilia Or Misdirected Cilia.
Treatment
 Hot Compress.
 Lid Scrub [ Baby Shampo ].
 Anti Biotic + Steroid Ointment.
 Oral Antibiotics [ I.E. Azithromycin 500mg].
 Ocular Hygiene.

10.  It Is Caused By Meibomian Gland.
 It Is Mostly Due To Staphylococcal Infection.
Symptoms
 Foreign Body Sensation.
 Irritation .
 Frothy Discharge.
 Watering.
Signs
 White Frothy Secretion On The Eyelid Margin.
POSTERIOR BLEPHARITIS

11. Tretment
 Lid Hygiene
 Hot Compress
 Tarsal Massage
 Oral Antibiotic
 Steroid + Antibiotics Ointment
COMPLICATIONS
 Chronic Conjunctivitis
 Madarosis
 Trichiasis
 Tylosis
 Ectropion

12.  It Is An Acute Suppurative Inflammation [ Gland Of
The Zeir Or Moll ] Of The Follicle Of An Eyelash .
Etiology
 Uncorrected Refractive Error
 Poor Hygienic Conditions
Symptoms
 Acute Pain
 Swelling Of Lid Margin
 Discharge
 Sense Of Heaviness
SYTE [ EXTERNAL HORDEOLUM ]

13. Signs
 Redness
 Matting Of Eyelashes
 Swelling
Treatment
 Hot Compress 2 – 3 Times A Daily
 Surgical Incision
 Antibiotic Drop [ Ciprofloxacin ] 2 – 3 Times Daily
 Systemic Analgesics [ Ibuprofen ] 2 – 3 Times Daily

15.  It Is A Chronic Non – Infective Inflammatary Granuloma Of
The Meibomian Gland.
causes
 Poor Hygienic Condition
 Blepharitis
 Chronic Conjunctivitis
Symptoms
 Painless
 Drooping Of The Eyelid
 Blurring Of Vision
CHALAZION

16. Signs
 Swelling lid margin .
Treatment
 Hot compressions 3 – 4 times daily
 Steroid + antibiotic ointment with lid massage.

18. It Includes ---
 Trichiasis
 Distichiasis
 Entropion
 Ectropion
 Symblepharon
 Ankyloblepharon
 Ablepharon
 Ptosis
 Madarosis
 Poliosis
ANOMALIES OF EYELIDS

19. It Is A Misdirection Of Eyelashes .
Causes
 Entropion
 Blepharitis
 Trachoma
Symptoms
 F. B Sensation
 Pain
 Lacrimation
 Irritation
TRICHIASIS

20. Signs
 Conjunctival Congestion
 Misdirection Of Lashes
 Reflex Blepharospasm
 Superficial Corneal Opacities
Treatment
 Epilation
 Scl
 Surgery - Electrolysis
Cryotherapy

21. Extra Raw Of Eyelashes.
Symptoms
 Lacrimation
 Pain
 Irritate The Cornea
Signs
 Extra Raw
Treatment
 Cryotherapy
DISTICHIASIS

22. Entropion Is An Inward Turning Of The Eyelid With Rubbing Of Thr
Eyelashes On The Conjunctiva Or Cornea.
Causes
 Chemical Injury
 Trachoma
Symptoms
 F. B Sensation
 Pain
 Lacrimation
ENTROPION

23. Signs
 Conjunctival Congestion
 Blephaeospasm
 Matting Of The Eyelashes
 Superficial Corneal Opacities
Treatment
 TEMPORARY PROCEDURES
Alcohol Injection
Cautery
 PERMANENT PROCEDURES
Fox Procedure

24. It Is An Outward Turning Of The Eyelid .
Symptoms
 Epiphora
SIGNS
TREATMENT
ECTROPION

25. Adhesion B/W The Palpebral And Bulbar Conjunctiva .
Aetiology
 Chemical Burns
 Thermal Burns
 Membranous Conjunctivitis
Symptoms
 Pain
 Redness
 Watering
 Diplopia
SYMBLEPHARON

26. Signs
 Restriction of OM
 Lids may not be closed properly

27.  Adhesion B/W Upper And Lower Eyelid Margin.
Aetiology
 Chemical Burn – Acquired
 Traumatic Wounds Of Lid Margin
 Congenital
ANKYLOBLEPHARON

28. Drooping Of The Upper Eyelid
Etiology
 Congenital Ptosis
 Acquired Ptosis
1. Neurogenic : Partial / Complete Paralysis Of 3rd Nerve
Horner’s Syndrome
2. Myogenic : Due To Trauma Of Levator Muscle
3. Mechanical : Excess Of Weight
PTOSIS [ BLEPHAROPTOSIS]

30. 3. Margin crease distance
Distance from the upper eyelid margin to the lid crease
measured in downgase.
noramal 8 – 10 mm
4. Palpebral fissure height
the distance b/w the upper and lower eyelid in vertical
alignment
normal – women 9- 10mm
men 7 – 10mm
5. Ocular motility
6. Jaw winking phenomenon
7. bell’s phenomenon
8. Corneal sensitivity

31. Treatment
1. Fasanella – servat operation
2. Levator resection
3. Brow suspension
4. Aponeurosis strengthening

32. THANK YOU!