EEMU July 2010

EEMU July 2010 - Description

Lid Problems;. . significant and trivial. Miss Carole Jones. Oculoplastic Surgeon. EEMU July 2010. Lid Problems;. . significant and trivial. Lid Tumours. Benign and malignant. Lid Malposition. Entropion. ID: 512137 Download Presentation

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EEMU July 2010

Lid Problems;. . significant and trivial. Miss Carole Jones. Oculoplastic Surgeon. EEMU July 2010. Lid Problems;. . significant and trivial. Lid Tumours. Benign and malignant. Lid Malposition. Entropion.

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EEMU July 2010




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Presentation on theme: "EEMU July 2010"— Presentation transcript:

Slide1

EEMU July 2010

Lid Problems; significant and trivial

Miss Carole Jones

Oculoplastic Surgeon

Slide2

EEMU July 2010

Lid Problems; significant and trivial

Lid Tumours

Benign and malignant

Lid Malposition

Entropion

Ectropion

Ptosis

Slide3

EEMU July 2010

Lid Tumours

Slide4

EEMU July 2010

Epidermis

Sebaceous glands

Sweat glands

Hair follicles

Melanocytes

Neural

Vascular

Lymphoid

Mucous membrane

Slide5

Cystic Lesions; Meibomian, Sebaceous

EEMU July 2010

Slide6

White dots; Milia, Molluscum

EEMU July 2010

Slide7

Hair Follicle; Pilomatrixoma of Malherbe

EEMU July 2010

Slide8

EEMU July 2010

Naevi

Slide9

EEMU July 2010

Haemangioma

Slide10

Benign Epidermal Lesions

Seborrheic KeratosisActinic KeratosisKeratoacanthoma

EEMU July 2010

Slide11

Malignant Epidermal Lesions

BCCSCCSebaceous Gland CarcinomaMerkel Call Tumour

EEMU July 2010

Slide12

EEMU July 2010

Signs of Significance

Slide13

EEMU July 2010

Signs of Significance

ColourContour

Slide14

EEMU July 2010

Signs of Significance

DistortionDestruction

Slide15

EEMU July 2010

Signs of Significance

Slide16

EEMU July 2010

If in doubt..biopsy

Slide17

Tumour Biopsy

Initial Punch Biopsy Incisional Biopsy if doubt

Slide18

Lid Malposition

EntropionEctropionPtosis

Slide19

Lid Malposition

Assess; cornealid laxity medial canthal tonecicatrisation Ectropion - syringeEntropion - everting sutures if symptomatic

Slide20

EEMU 2009

Entropion

Congenital Acquired; Involutional Cicatricial

Slide21

Entropion

Orbicularis override Lid laxity Buckling of tarsal plateRetractor dehiscence

Slide22

Medical Treatment Entropion

Ointments and DropsTapingEverting suturesBotox

Slide23

EEMU 2009

Ectropion

Cicatricial

Paralytic

MechanicalInvolutional

Slide24

EEMU 2009

Ectropion

Congenital

Slide25

Regional Study Day 2009

Classification of Ptosis

NeurogenicMyogenicMechanical Aponeurotic

Frueh The Mechanical Classification of Ptosis. Ophthal 1980;87:1019-1021

Slide26

Regional Study Day 2009

Classification of Ptosis

Neurogenic Non localised Ophthalmoplegic migraineCyclic oculomotor palsy Localised Third nerve Sympathetic nerve Synkinesis

Slide27

Regional Study Day 2009

Classification of Ptosis

Neurogenic Non localised Ophthalmoplegic migraineCyclic oculomotor palsy Localised Third nerve Sympathetic nerve Synkinesis

Slide28

Regional Study Day 2009

Classification of Ptosis

Myogenic: Congenital levator dystrophy MyaestheniaMyopathyMyotonic dystrophy

Slide29

Classification of Ptosis

Regional Study Day 2009

Mechanical

Slide30

Regional Study Day 2009

Classification of Ptosis

Aponeurotic

Frueh The Mechanical Classification of Ptosis. Ophthal 1980;87:1019-1021

Slide31

EEMU July 2010

Lid Problems; significant and trivial

Lid TumoursBenign and malignantLid MalpositionEntropionEctropionPtosis

Slide32

Lid Problems; significant and trivial

Check for colour and contour Look for destruction or distortionBe suspicious of failure to healIf in doubt biopsy!

EEMU July 2010

Slide33

May all your lid problems be little ones!

Thank you

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