Lid Diseases-II - Trichiasis Power point copy of Lecture...

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24/12/11 Prof Sanjay Shrivastava 1 Trichiasis Power point copy of Lecture taken by Prof Sanjay Shrivastava For Junior Final Year students of Gandhi Medical College, Bhopal (M.P.)
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24/12/11 Prof Sanjay Shrivastava 2 Trichiasis Misdirected eye lashes are called trichiasis. Eyelashes (cilia) emerging normally i.e. from anterior border of lid margin are misdirected backward towards the ocular surface (cornea). Tarsal plate remains normal in position. Any condition causing entropion (involutional, cicatricial as in Trachoma or spastic entropion) will cause misdirected lashes (Trichiasis) to rub against cornea
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24/12/11 Prof Sanjay Shrivastava 3 Causes of Trichiasis 1. Secondary to chronic inflammatory conditions like Trachoma, Stevens- Jhonson Syndrome, Pemphigus, Blepharitis, traumatic or operative scar, blepharitis (Ulcerative) and chemical burns 2. It may be idiopathic
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24/12/11 Prof Sanjay Shrivastava 4 Traumatic Scar causing Trichiasis
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24/12/11 Prof Sanjay Shrivastava 5 Trichiasis in Trachoma Stage IV
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24/12/11 Prof Sanjay Shrivastava 6 Trichiasis with Corneal Opacity
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24/12/11 Prof Sanjay Shrivastava 7 Trichiasis associated with Ivolutional Entropion
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24/12/11 Prof Sanjay Shrivastava 8 Trichiasis associated with spastic entropion
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24/12/11 Prof Sanjay Shrivastava 9 Trichiasis associated with operative scar
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24/12/11 Prof Sanjay Shrivastava 10 Symptoms Foreign body sensation Irritation Pain Redness Inability to open eyes Watering
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24/12/11 Prof Sanjay Shrivastava 11 Signs Misdirected eyelash(s) Conjunctival congestion Lacrimation/ blepharospasm Recurrent corneal erosions / superficial corneal opacity(ies) Corneal vascularization Recurrent corneal ulcer/ Non-healing corneal ulcer
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24/12/11 Prof Sanjay Shrivastava 12 Trichiasis with corneal abrasion
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24/12/11 Prof Sanjay Shrivastava 13 Trichiasis
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24/12/11 Prof Sanjay Shrivastava 14 Trichiasis with Stevens Jhonson Syndrome
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24/12/11 Prof Sanjay Shrivastava 15 Treatment 1. Epilation of affected eyelash, but they grow in 4- 6 weeks 2. Diathermy: 30 mA current is passed in the root of affected eyelash for 10 seconds then epilated 3. Electrolysis: done under local anaesthesia by injecting lignocaine along the lid margin to anaesthetize root of eyelashes. Positive pole is applied temple. Negative pole is introduced in hair follicle and current of 2 mA is used (bubble is seen at root of eyelash then) eyelash is then epilated
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24/12/11 Prof Sanjay Shrivastava 16 Epilation Forceps
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Lid Diseases-II - Trichiasis Power point copy of Lecture...

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