Ace the Certified Ophthalmic Assistant Exam 2025 – Eye-Opening Success Awaits!

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If a patient presents with a chalazion in the upper lid, could it potentially cause a loss of vision?

True

A chalazion is a type of cyst that forms in the eyelid, typically as a result of a blocked oil gland. While a chalazion may not directly obstruct vision in the same way that other conditions might, its location on the upper lid can indeed lead to some visual disturbances under specific circumstances.

If the chalazion grows large enough, it can exert pressure on the eyeball itself or create a physical barrier to normal visual pathways. This is particularly relevant if the growth interferes with the proper alignment of the eyelid, which can cause misalignment of the visual axis or lead to issues with tearing or eyelid closure. Additionally, if the chalazion becomes inflamed, swelling may lead to eyelid drooping (ptosis) that complicates vision further.

In general practice, vision loss from a chalazion is more indirect and often temporary but is a possibility that must not be overlooked, especially in cases where large chalazia may lead to changes in the eyelid that affect sight. Therefore, it is valid to say that a chalazion in the upper lid could potentially cause a loss of vision depending on its size and associated symptoms.

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False

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