Lids Disease

1. Lids Disease China Medical University NO.4 Affiliated hospital Ophthalmology; Ophthalmology hospital of China Medical University

2. Basic knowledge

3. Basic knowledge

4. Inflammations of the lids • Hordeolum • Chalazion • Blepharitis • Virus palpebral dermatitis • Contact dermatitis of the lids

5. Hordeolum • Etiology • Most hordeola are caused by staphylococcal infections ,usually Staphylococcus aureus. • Principal symptoms • Pain, redness and swelling

6. Symptoms External External internal hordeolum hordeolum hordeolum

7. Treatment • Warm compresses • Incision and drainage of the purulent material • Antibiotic ointment • Systemic antibiotics are indicated if cellulitis develops

8. Chalazion Etiology Meibomian plugging Symptoms • Sterile chronic granulomatous inflammation • Localized swelling • Painless Treatment • Warm compresses • Intralesional steroid injections • Surgical excision

9. Chalazion

10. Blepharitis • Squamous blepharitis • Ulcerative blepharitis • Angular blepharitis

11. Squamous blepharitis Etiology infection of pityrosporum ovale Symptoms • Irritation,burning,and itching of the lid margins • Many scales or granulations • The scales are greasy,ulceration does not occur,and the lid margins are less red. Treatment • The scalp ,eye brows and lid margins must be kept clean • Scales must be removed daily • Eye ointment

12. Squamous blepharitis

13. Ulcerative blepharitis Etiology infection of staphylococcus aureus Symptoms • Irritation,burning,and itching • Many scales or granulations • The scales are dry,the lids are red,tiny ulcerated areas are found along the lid margins,and the lashes tend to fall out. Treatment • The scalp ,eye brows and lid margins must be kept clean • Scales must be removed daily • Eye ointment

14. Angular blepharitis Etiology infection of Morax-Axenfeld Symptoms • Irritation,burning,and itching • The lateral canthus and lid margin shows hyperemia and telangiectasia. Treatment • Eye ointment • VB and VC

15. Tumors of the eyelids • Benign lid tumors • Hemangioma • Nevus • Xanhelasma • Primary malignant tumors of the lids • Basal cell carcinoma • Squamous cell carcinoma • Sebaceous gland carcinoma

16. Hemangioma

17. Nevus

18. Xanhelasma

19. Basal cell carcinoma

20. Squamous cell carcinoma

21. Sebaceous gland carcinoma

22. Anatomic deformities of the lids • Trichiasis and aberrant lashes • Entropion • Ectropion • Lagophthalmus • Ptosis • Epicanthus • Distichiasis • Congenital coloboma of the lids

23. Trichiasis and aberrant lashes • Impingement of eyelashes on the cornea • Treament • Temporary relief Plucking the offending eyelashes • Permanent relief electrolysis, laser or knife surgery,or cryosurgery

24. Trichiasis

25. Entropion • Classification • Congenital entropion • Spastic entropion • Cicatricia entropion • Treament • Surgery • Tape the lower lid to the cheek • Inject botulinum toxin

26. Ectropion • Classification • Cicatricia ectropion • senile entropion • paralytic entropion • Symptoms • Tearing and irritation • Treament • Surgery

27. Ptosis • Etiology • Congenital Ptosis oculomotor nerve nucleus/levator maldevelopment • Acquired Ptosis myogenic ptosis/neurogenic ptosis/mechanical ptosis

28. Ptosis • Symptoms • Ptosis • Deep frontal fold • Amblyopia • Treament • Congenital Ptosis surgery, revent amblyopia • Acquired Ptosis surgery

29. epicanthus • Epicanthus is characterized by vertical folds of skin over the medial canthi • Epicanthus tarsalis

30. epicanthus • Epicanthus inversus

31. Congenital coloboma of the lids