By Jack J. Kanski MD MS FRCS FRCOphth, Anne Bolton BIPP DATEC BA(Hons)
In line with a sequence of tutorials given to citizens in ophthalmology at King Edward VII clinic, Windsor, united kingdom. Abundantly illustrated in colour and summarizes key evidence for prognosis and remedy of ocular issues. Revision advisor and examine relief for exams.
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Additional info for Illustrated tutorials in clinical ophthalmology
Does not metastasize 5. 90% occur on head and neck 6. Of these 10% involve eyelids 7.
Fat herniation • Age-related, usually bilateral • Pockets of fat herniating into upper lids, especially medially Treatment - blepharoplasty Systemic causes of lid oedema • Myxoedema • Renal disease • Congestive heart failure • Obstruction of superior vena cava • Fabry disease BENIGN EYELID LESIONS 1. Nodules • Chalazion • Acute hordeola • Molluscum contagiosum • Xanthelasma 2. Cysts • Cyst of Moll • Cyst of Zeiss • Sebaceous cyst • Hidrocystoma 3. Tumours • Viral wart • Keratoacanthoma • Naevi • Capillary haemangioma • Port-wine stain • Pyogenic granuloma • Cutaneous horn Signs of chalazion (meibomian cyst) Painless, roundish, firm lesion within tarsal plate May rupture through conjunctiva and cause granuloma Histology of chalazion Multiple, round spaces previously containing fat with surrounding granulomatous inflammation Epithelioid cells Multinucleated giant cells Treatment of chalazion Injection of local anaesthetic Insertion of clamp Incision and curettage Acute hordeola Internal hordeolum ( acute chalazion ) • Staph.
Basal cell carcinoma 2. Squamous cell carcinoma 3. Meibomian gland carcinoma 4. Melanoma 5. Kaposi sarcoma 6. Merkel cell carcinoma 7. Treatment Basal Cell Carcinoma - Important Facts 1. Most common human malignancy 2. Usually affects the elderly 3. Slow-growing, locally invasive 4. Does not metastasize 5. 90% occur on head and neck 6. Of these 10% involve eyelids 7.