Diseases of the Eyelid

About this set

Created by:

oquist  on February 19, 2012

Subjects:

Medicine 2

Classes:

KSUCVM 2013

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Diseases of the Eyelid

What is ankyloblepharon?
adhesion on eyelid margins, occurs normallys from 10-14 days of life in dogs and cats.
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Definitions

What is ankyloblepharon? adhesion on eyelid margins, occurs normallys from 10-14 days of life in dogs and cats.
What can be done for pups with ankyloblepharon after 15 days of life? gentle traction on eyelids or blunt dissection
What is ophthalmia neonatorum? infection behind the eyelids in newborns
In what species is eyelid agenesis more common? cats and horses
What are some options to repair a small defect associated with eyelid agenesis? -cryosurgery and ocular lubricants
-simple wedge resection
Does micropalpebral fissure generally need surgical intervention? What about macropalpebral fissure? No
Yes- may need surgical treatment
What are the indications for surgical shortening of the eyelids for patients with macropalpebral fissure? if there is pigmentation, exposure keratitis, or recurrent corneal ulcers
(entropion/ectropion) is the inversion of the eyelid margin whereas (entropion/ectropion) is the eversion of the eyelid margin. Entropion is a bigger concern/problem. Entropion, ectropion
What are corneal sequelae to entropion? -ulceration
-vascularization
-pigmentation
-corneal scarring
What causes spastic entropion? lid spasm associated with pain (from FB, ulcer, etc) that causes eyelid to fold in
Is it preferred to perform surgical repair in young animals with anatomic entropion? no, use temporary treatments until animals are mature and then reassess
When performing a Hotz-Celsus procedure for entropion, should the incision be closer to the eyelid margin or away from the eyelid margin? close to the eyelid margin. If it is too far away, then will not do anything to help pull the eyelid out.
How to determine how much skin to take for entropion repair? How would you assess the animal? -apply topical anesthetic to relieve spasms
-assess conformation in a conscious, unsedate animal
What treatment would be best for ectropion?
A. wedge resection
B. Hotz-Celsus
C. Eyelid tacking
D. Medial canthoplasty
A
Is it important to get the eyelid margins to oppose perfectly when performing wedge resection techniques, or will the tissues heal well regardless? it is important to get the eyelid margin to oppose perfectly to heal well without gapping/scarring
Match the terms with their meaning:
1. trichiasis, 2. districhiasis, 3. ectopic cilia
A-hairs emerge from meibomian gland openings
B-hairs emerge through the palpebral conjunctiva
C-normal facial hairs that contact the cornea/conjunctiva
1-C
2-A
3-B
Which of the below are more likely to cause problems?
A. trichiasis
B. distichiasis
C. ectopic cilia
C
What is the most common treatment method for distichiasis that is causing problems in their patients? cryosurgery
Is ectopic cilia more common in older or younger patients? younger
What is the term used to describe the infection of eyelid glands? hordeolum (stye)
What is Chalazion? granuloma fomation from insipissated meibomian gland secretions
When a patient has blepharitis, or inflammation of the eyelids, what should be the first thing you think? Demodex!
What are some other causes of Blepharitis? -bacterial- staph
-mycotic-Microsporum or Trichophyton
-immune mediated - allergies, pemphigus, uveodermatologic syndrome
-traumatic- lye, acids, fire
-actinic- sunlight related
What is another name for Juvenile Pyoderma/Cellulitis? puppy strangles
What are some treatment options for puppy strangles? topical and systemic broad spectrum antibiotics, systemic corticosteroids
When it comes to treating Blepharitis, are systemic or topical medications generally more efficaceous? systemic
What are some consequences of poor lid margin apposition? -trichiasis
-exposure keratitis
-marginal scar tissue can abrade cornea
In the canine patient, eyelid tumors tend to be (benign/malignant). Eyelid tumors in cats to tend to be (benign/malignant). benign, malignant
In dogs, what is the most of the eyelid length that you might be able to take to remove eyelid tumor? 30% (would not be possible in cats!)

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