Common cases in eyelids, conjunctiva and sclera
(click on the pictures or cases for decriptions and questions)

There are many conditions in the eyelids, conjunctiva and sclera which may appear in the final MRCOphth. However, apart 
from ptosis, ocular cicatricial pemphigoid and scleromalacia perforans; the other conditions rarely form the cases in the 
examination. It is important not to stop searching for a second pathology when you find xanthlasma, entropion or ectropion.

Another common omission in the examination of the anterior segment is everting the upper and lower lids. Evertion of the 
lower lids should be done routinely so as not to miss symblepharon, adrenochrome or other conjunctival pigmention. Lifting 
of the upper lid should also be routinely performed to look for trabeculectomy and scleromalacia perforans. Everting the 
upper lid is unpleasant for the patient, always ask the permission of the patients and examiners before you perform this.

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