Proptosis: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "abscess " to "abscess ") |
ClaireLewis (talk | contribs) No edit summary |
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| Line 7: | Line 7: | ||
*[[Graves' disease]] (bilateral) | *[[Graves' disease]] (bilateral) | ||
*[[Cavernous sinus thrombosis]] | *[[Cavernous sinus thrombosis]] | ||
* | *[[Carotid-cavernous fistula]] | ||
*[[Orbital cellulitis]] | *[[Orbital cellulitis]] | ||
*[[Mucormycosis]] | *[[Mucormycosis]] | ||
| Line 19: | Line 19: | ||
**Visual acuity | **Visual acuity | ||
**Intraocular pressure measurement (see [[Tono-Pen use]]) | **Intraocular pressure measurement (see [[Tono-Pen use]]) | ||
*CT with maxillofacial cuts | *[[head CT|CT]] with maxillofacial cuts | ||
*Consider CTA or MRI/MRV | *Consider CTA or [[brain MRI|MRI]]/MRV | ||
==Management== | ==Management== | ||
| Line 33: | Line 33: | ||
[[Category:Ophthalmology]] | [[Category:Ophthalmology]] | ||
[[Category:Symptoms]] | |||
Revision as of 01:00, 2 October 2019
Background
Proptosis in a woman with retrobulbar abscess and orbital cellulitis
- Forward displacement of the eye
- Can be bilateral as in Graves disease
Differential Diagnosis
- Graves' disease (bilateral)
- Cavernous sinus thrombosis
- Carotid-cavernous fistula
- Orbital cellulitis
- Mucormycosis
- Orbital fractures
- Orbital hematoma
Evaluation
- Clinical exam (Eye Exam)
- PERRL, EOMI, visual fields
- Assess for diplopia
- Visual acuity
- Intraocular pressure measurement (see Tono-Pen use)
- CT with maxillofacial cuts
- Consider CTA or MRI/MRV
Management
- Management depends of pathophysiology
- Increased IOP may require a lateral Canthotomy