Professional Documents
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EYELID DISEASE
Section A
Staphylococcal Blepharitis
Lid margin erythema and ulceration, fibrin, collaretes, and crusts at the base of the lashes
Angular Blepharitis
Maceration and crusting of the skin at the lateral (sometimes medial) canthus
Molluscum Contagiosum
Papule and enlarging to a waxy nodule with an umbilical center
Viral Papilloma
Painless, keratanized cutaneous lesion, usually without inflammation
Seborrheic Keratosis
Pigmented, well demarcated and slightly elevated Warty and crusted, oftern has a stuck on appearance, with visible keratotic plugs
Xanthelasma
Yellow to-tan plaque that often involves the medial portion of the upper and lower eyelids Superficial dermis contains foamy histiocytes, filled with cholesterol esters
Sturge-Weber Syndrome
Facial port-wine stain, with or without leptomeningeal angiomatosis Choroidal hemangioma is most common intraocular abnormality associated with SturgeWeber syndrome.
Capillary Hemangioma
Reddish purple tumor strawberry nevus Ambliopia can occur secondary to ptosis, strabismus, or astigmatism and anisometropia
Canaliculitis
Tearing, a prominent punctum, and swelling and tenderness over the canaliculus Milking the canaliculus
Dacryocystitis
Tender swelling over the lacrimal sac, accompanied by pain, erythema, and discharge
Keratoconjunctivitis Sicca
Diffuse ppunctate erosions and conjunctivitis over the interpalpebral area
Keratoconjunctivitis Sicca
The cornea and conjunctiva often stain brightly with rose bengal in an exposure pattern
CONJUNCTIVAL DISEASE
Section c
Adenoviral Conjunctivitis
Hyperemic and congestive conjunctival reaction Serous discharge and preauricular lymphadenopathy
Epidemic Keratoconjunctivitis
External ocular adenovirus infection Preauriculer lymphadenopathy and a mixed papillary-follicular conjunctivitis
Membranous Conjunctivitis
Inflammatory discharge of fibrin with polymorphonuclear leukocytes and fibrin coagulates of the conjunctival surface
Gonococcal Keratoconjunctivitis
Rapid progression, copiously purulent conjunctival discharge, marked conjunctival hyperemia and chemosis, and eyelid edema
Chlamydial Keratoconjunctivitis
Prominent follicular response with nontender preauricular lymphadenopathy
Trachoma
conjunctival scarring can subsequently lead to a dry eye, trichiasis, and entropion
Trachoma
Herberts pits are small depressions at the limbus that represent areas of slight thinning at the site of necrotic follicles
Atopic Keratoconjunctivitis
Small to medium-sized papillae that are equally prominent on the upper and lower palpebral conjunctiva, milky bulbar conjunctival edema
Vernal Keratoconjunctivitis
Palpebral vernal diffuse papillary hypertrophy develops with giant (cobblestone) papillae
Vernal Keratoconjunctivitis
Sterile epithelial ulcers with an oval or shield shape, and underlying stromal opacification, may also develop in the midsuperior cornea
Stevens-Johnson Syndrome
Acute, inflammatory, vesicobullous reaction of the skin and mucous Mucopurulent conjunctival discharge
Conjunctival Nevus
Congenital hamartomas that consist of nests of modified melanocytes Junctional, compound, and subepithelial nevi occur in the conjunctiva
Adrenochrome Deposits
Conjunctival or corneal darkly pigmented deposits can occur in patients who are using topical epinephrine compounds for glaucoma
Pinguecula
Degenerative lesion of the bulbar conjunctiva that occurs adjacent to the limbus in the interpalpebral zone, most often nasally Yellow-white amorphous, subepithelial deposits, gradually enlarge
Pterygium
Benign proliferation of fibrovascular tissue covered by conjunctivallike epithelium extending onto the peripheral cornea
Pyogenic Granuloma
This raised, fleshy, red pedunculated lesion can arise from skin or conjunctiva usually accompanied by mucopurulent or purulent discharge
Phlyctenulosis
Focal, translucent lymphocytic nodules generally located at the limbus and usually accompanied by significant inflammation
Conjunctival Lymphoma
Both bening reactive lymphoid hyperplasia and malignant lymphoma of the conjunctiva can produce a salmon-colored tumor
SCLERAL DISEASE
Section d
Episcleritis
Inflammation and vasodilation of the episclera Ocular pain -, tenderness -
Scleritis
Active inflammation violaceous hue best seen in natural sunlight Engorgement of the deep vascular plexus is evident
Scleromalacia Perforans
Painless necrotizing scleritis Bluish color in affected regions as uveal pigment begins to show through the thinned sclera
PART II : CORNEA
Fungal Keratitis
Gray-white, dry-appearing infiltrate that has a delicately filamentous or feathery edge
Acanthamoeba Keratitis
Stromal infection occurs central cornea gray white superficial infiltrates Partial or complete ring infiltrate in the paracentral cornea
Rosacea Keratitis
Oculodermatologic disease characterized by facial telangiectasia and erythema; sebaceous gland dysfunction of the face, neck and shoulders; and vasomotor instability
Rosacea Keratitis
Corneal neovascularization and scarring can follow repeated bouts of ocular surface inflammation
Cornea Guttata
Round, dark, drop like prominences at the level of Descemets membarane and the corneal endothelium The guttae represent thickening and localize anvil-shaped excrescences of Descemets membrane
FuchsEndothelial Dystrophy
Significant density of cornea guttae
FuchsEndothelial Dystrophy
Attenuation and dysfunction of endothelial cells, which leads to corneal edema
Keratoconus
The central or paracentral cornea undergoes progressive thinning and bulging so that the cornea takes on the shape of a cone Vogts striae, Fleischers ring, apical anterior stromal scarring, irregular scissoring retinoscopic relex
Posterior Embryotoxon
Thickened and anteriorly displace Schwalbes ring
CORNEAL DEGENERATIONS
Section C
Corneal Arcus
Deposition of lipid in the peripheral corneal stroma
Spheroidal Degeneration
Translucent, golden brown globular deposit in the cornea
Neurotrophic Keratopathy
Keratopathy that generally involves the central or inferior paracentral cornea Surrounded by raised, rolled up, gray edges
Moorens Ulcer
Chronic, progressive, idiopathic ulceration of the peripheral corneal stroma and epithelium
CORNEAL INJURIES
Section D
Alkali Burn
Extensive limbal epithelial damage and ischemia, stromal opacification, and intraocular chemical penetration
Alkali Burn
Blanching of the inferior perilimbal conjunctiva and sclera with a few scattered conjunctiva hemorrhages and chemosis
Miscellaneous
New vessels formation on chronic ulcer of the cornea