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samenvatting ooglid afwijkingen tabelvorm
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les ooglid afwijkingen verwerkt in tabel, zonder foto's
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OOGLID AFWIJKINGENKnobbeltjes en tumoren
Let op voor Levensbedreigend: spino
Operatie nodig: basalioma vd oogleden
Systemisch lijden: neurofibroom, xanthelasmata
Visusdaling door geïnduceerd astigmatisme
Amblyopie in jonge kinderen door obstructie visuele as
(hemangioma)
Chalazion = granuloma van meibomiusklier tgv obstructie vd afvoer met
reactionele inflammatie
Rood, ontstoken, hard knobbeltje, later pijnloze verdikking
Intern of extern
Chalazion 3 vormen 1) acute fase
➔ Tekenen van inflammatie
➔ R/ warme compressen, AB en cortico zalf (maxitrol,
tobradex)
2) chronisch
➔ Ingekapseld, niet inflammatoir
➔ Astigmatisme en visusdaling
➔ R/ verticale incisie en curretage
3) recidiverend
➔ Blepharitis, acne rosacea, diabetes
➔ R/ tetracyclines po 1-3m!!
➔ Let op voor maligne tumor
Hordeolum/stye = infectie van een follikel van ooglidwimper
Rode pijnlijke zwelling aan ooglidrand, soms etterpunt thv
uitmonding
R/ droge warmte en AB zalf
Marginale cysten = cystevorming vet- en zweetkliertjes rond de ooglidranden
Koepelvormig, geen inflammatie
➔ Cyste van Moll (zweet): helder vocht
➔ Cyste van Zeiss (vet): vettige gele substantie
Papillomata = multilobulaire gesteelde tumoren rond de oogleden
Virale oorsprong HPV
Resectie als esthetisch storend of bij onzekere diagnose
Xanthelasmata = gele plaques thv nasaal gedeelte vd oogleden bestaande uit
cholesterol
Hyperlipidemieën uitsluiten
Resectie indien esthetisch storend
Basalioom (ulcus rodens) = basaal celcarcinoom
Meest frequente maligne tumor vd oogleden
Vnl onderste ooglid (zonexpositie)
Parelkrans en necrotisch centrum
Nooit meta’s maar continue lokale invasie
R/ complete excisie, RT
Inflammatoire aandoeningen
Blefaritis = chronische ontsteking aan de ooglid rand
Klachten: rode ooglidranden, verkleefde wimpers, chronische
irritatie
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