NR602 Midterm Exam
What is a chalazion? - CORRECT ANSWER Benign, chronic lipogranulomatous inflammation of the
eyelid
What causes a chalazion? - CORRECT ANSWER Blockage of the meibomian gland
What puts a person at risk for a chalazion? - CORRECT ANSWER Hordeolum or any condition which
may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? - CORRECT ANSWER Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? - CORRECT ANSWER Good eye hygiene
What is treatment for chalazion? - CORRECT ANSWER Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? - CORRECT ANSWER In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? - CORRECT ANSWER Inflammation/infection of the lid margins (chronic
problem)
What are the two types of blepharitis? - CORRECT ANSWER Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? - CORRECT ANSWER Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? - CORRECT ANSWER Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? - CORRECT ANSWER Infection w/staph or strep
What are s/s of ulcerative blepharitis? - CORRECT ANSWER Itching
Tearing
, Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis? - CORRECT ANSWER Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated? - CORRECT ANSWER Antistaph abx: bacitracin,
erythromycin 0.05% x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated? - CORRECT ANSWER Tetracycline
250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? - CORRECT ANSWER Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds? - CORRECT ANSWER Bacteria
What are some common causes of bacterial conjunctivitis? - CORRECT ANSWER Contact lenses
Rubbing eyes
Trauma
What are s/s of bacterial conjunctivitis? - CORRECT ANSWER Purulent (green/yellow) drainage,
initially unilateral, then bilat
Sensation of FB is common
Redness
Crust/matted eyelids in AM
How long does bacterial conjunctivitis usually last? - CORRECT ANSWER 5-7 days (self-limiting)
What is the treatment for bacterial conjunctivitis? - CORRECT ANSWER Eye drops: polytrim,
erythromycin, tobramycin, cipro
What is the most common organism causing bacterial conjunctivitis? - CORRECT ANSWER H.
influenza
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