Eyelid Lesions Flashcards Preview

Ocular Disease > Eyelid Lesions > Flashcards

Flashcards in Eyelid Lesions Deck (22)
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1
Q

what are 2 benign conditions?

A

hordeolum and chalazion

2
Q

what is a hordeolum?

A

acutely presenting, erythematous tender bump within the eyelid

3
Q

what is an external hordeolum?

A

infection of the glands of Zeiss/Moll or eyelash follicle

4
Q

what is an internal hordeolum?

A

infection of meibomian glands

5
Q

what is the treatment for a hordeolum?

A

reassure patient they are self-limiting and resolve in 1-2 weeks = warm compress and if needed topical antibiotic ointment (incision/drainage)

6
Q

what is a chalazion?

A

lipogranulomatous inflammation, chronic, rubbery, painless localized swelling of eyelid

7
Q

what is an external chalazion?

A

inflammation of Zeiss/Moll glands

8
Q

what is an internal chalazion?

A

inflammation of meibomian glands

9
Q

what is the treatment for a chalazion?

A

reassure patient most clear in weeks to months = warm compress or surgical incision/drainage or steroid injection

10
Q

what is the definition of malignant?

A

it grows and invades adjacent tissues

11
Q

what is the definition of metastatic?

A

infiltrates the blood vessels and lymphatic’s to spread throughout the body

12
Q

where is the most prominent area of eyelid skin cancers? Where is the least likely?

A
44% = lower eyelid
19% = medial canthus
17% = eyebrow
16% = upper eyelid
4% = lateral canthus
13
Q

what type of skin cancer is highly malignant and potentially lethal?

A

sebaceous cell carcinoma

14
Q

where does a sebaceous cell carcinoma originate from?

A

meibomian glands of tarsal plate and glands of Zeiss

15
Q

who usually gets a sebaceous cell carcinoma?

A

middle-aged or elderly patients

16
Q

what type of carcinoma represents 90% or more of malignant eyelid tumors?

A

Basal cell carcinomas

17
Q

what are the signs of a basal cell carcinoma?

A

small, slow-growing, firm, painless, raised, pearly nodule, telangiectasia (spider veins) and indurated (hardened)

18
Q

what are the signs of a squamous cell carcinoma?

A

variable presentation - similar to BCC, flat plaque with everted edges, surface crusting, no surface telangiectasia (spider veins)

19
Q

what type of carcinoma is faster growing and more likely to metastasize and recur locally?

A

squamous cell carcinoma

20
Q

which type of eyelid lesion is the leading cause of death from all primary skin malignancies?

A

melanoma

21
Q

what are the signs of a melanoma?

A

pigmented thickening of eyelid or extension of pigment from conjunctiva, variably pigmented, can change color, bleed or grow

22
Q

what are the ABCDE signs you should watch for?

A

asymmetry, border, color, diameter, elevation/evolution