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Trichiasis Mx
- 1. Art tears
- 2. lid hygiene (if blepharitis present)
- 3. broad spectrum phrophylactic antibiotic
- 4. bandage CL
- 5. epilation of lashes (removal with tweezers)
- 7. electrolysis/laser ablation/cryotherapy
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Causes of madarosis
- A SECONDARY condition
- -chronic blepharitis
- -psoriasis
- -leprosy
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Causes of blepharitis
- -staph
- -seborrhoeic (oily skin)
- -meibomian seborrhoeic
- -mixed
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Tx of anterior blepharitis
- -warm compresses 15 mins qd/tea bags
- -artificial tears
- -polysporin ophth. ung (with warm compresses)
If severe (corneal involvement)... use topical fluoromethalone (FML) steroid
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systemic causes of posterior blepharitis
- -rosacea
- Sign: obstructed meibomian orifices
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Mx of posterior blepharitis
- -warm compresses
- -artificial tears
- -oral tetracycline or doxycycline or erythromycin is tetracyclines contraindicated (6-12 weeks)
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Mx of chalazion
- -May clear without Tx (wait and see) -hot compresses and massage
- -triamcinolone (steroid injection)
- -tetracycline (system Ab for rosacea)
- -Sx
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Mx of internal hordeolum
- -warm compresses
- -system Ab rarely needed
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Mx of external hordeolum
- -warm compresses
- -epilation may speed resolution
- -Ab not indicated
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Sturge-Weber Syndrome Mx
- -ipsilateral glaucoma tx, antiseizure meds, laser skin
- -choroid "tomato catsup fundus"
- -CN V
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Neurofibromatosis Mx
- dysfunction of neural crest cells
- -lisch nodules on iris
- -optic gliomas, unilateral proptosis, decreased acuity, strab, papilledema, optic atrophy, CRV occlusion
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Ectropion Mx
- -art tears and ung at night
- -lid taping at night
- -tarsorrhaphy (sewn shut) or inferior lid shortening Sx for severe cases
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