1. Oculoplastics and Lacrimal Disorders

2. Epiphora Eyelid tumours
Blepharitis
Nasolacrimal duct occlusion
Eyelid malposition
Ectropion
Entropion
Eyelid tumours
Basal cell carcinoma 
Squamous cell carcinoma

3. Epiphora: Anatomy and Physiology

4. Blepharitis
Blepharitis involving predominantly the skin and lashes tends to be staphylococcal and (or) seborrheic in nature, whereas involvement of the meibomian glands may be either seborrheic, obstructive, or a combination (mixed).
The pathophysiology of blepharitis is a complex interaction of various factors, including abnormal lid-margin secretions, microbial organisms, and abnormalities of the tear film.

5. OMG- I’ve been diagnosed with blepharitis
Management
OMG- I’ve been diagnosed with blepharitis
The mainstay of treatment is an eyelid hygiene regimen, which needs to be continued long term
Warmth
Massage
Cleansing
Topical antibiotics are used to reduce the bacterial load.
Topical corticosteroids and oral antibiotic preparations may be helpful in patients with marked inflammation with specialist monitoring

7. Nasolacrimal duct obstruction
Occurs in approximately 5-6% of infants.
A sticky, watery eye with positive regurgitation on pressure over the lacrimal sac confirms the diagnosis.
As there is a high spontaneous rate of remission (60-90%) in the first year of life, probing should be delayed until months of age.
Parents can be instructed to undertake lacrimal sac massage during the intervening period. Earlier probing is only justified if their is severe recurrent infection.

8. Recanalisation: Probing to DCR
Probing of the naso-lacrimal duct is the first line of treatments
With persistent epiphora and recurrent infection, it may be necessary to perform a dacryocystorhinostomy (DCR).
Bicanalicular silicone incubation with Crawford, Juneman or Ritleng tubes can be carried out

9. Eyelid malposition

10. Tumours: Benign

11. Steps to differentiating benign from malignant
 Basal Cell Skin Cancer 
Small raised bump
Smooth, pearly appearance. 
Central necrotic area
Telangectasia
Sometimes like a scar that is flat and firm to the touch.

12. Squamous Cell Carcinoma
 Sun exposed areas of skin such as the ears, lower lip, and the back of the hands
Skin that have been burned or exposed to chemicals or radiation
Often appears as a firm red bump, may feel scaly or bleed or develop a crust

13. Sebaceous carcinoma Melanoma
Chronic blepharitis
Recurrent chalazion
Melanoma
Change
Contour
Colour
Size