Image Based Question-65955

Question

A patient is presenting with a non-painful swelling on the eye-lid as shown in the image.This condition occurs due to obstruction of which glands?

A. Zeis gland

B. Moll glands

C. Manz glands

D. Meibomian glands

 

Show Answer

IBQ In Solution

Correct Answer » D

Explanation

Ans:D. Meibomian glands

Condition shown is Chalazion

Chalazion

Chalazion

  • It is a chronic noninfective  granulomatous inflammation of the sebaceous glands of the eyelid. They commonly affect the meibomian glands in the tarsal plate, resulting clinically as a painless, firm nodule of the eyelid.It occurs due to due to blockage and swelling of meibomian glands.
  • Histologically, deep dermal or subcutaneous suppurative lipogranulomatous inflammation exists, containing neutrophils, plasma cells, lymphocytes, histiocytes, and giant cells in a zonal configuration around central lipid material. A pseudocapsule surrounds the cellular infiltrate.
  • Treatment:
    • Conservative treatment with lid massage, moist heat, and topical mild steroid drops .Intralesional steroid injection may also be used. These aid in reducing inflammation and increasing the local blood supply.
    • Antibiotics are usually unnecessary.
    • Incision and curettage is a conventional and effective treatment of chalazion
    • A chalazion clamp is applied to evert the lid and to control bleeding. A transconjunctival vertical incision is made (to avoid injury to other meibomian ducts)
    • If a chalazion threatens to break through the skin or has drained through, an external approach may be recommended. A horizontal incision is made in the skin (to have an invisible scar) at least 3 mm from the lid margin in an existing crease.

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