Proptosis: Difference between revisions
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==Background== | ==Background== | ||
[[File:Proptosis 2014-10-28 12-32.jpg|thumb|Proptosis in a woman with retrobulbar abscess and orbital cellulitis]] | [[File:Proptosis 2014-10-28 12-32.jpg|thumb|Proptosis in a woman with retrobulbar abscess and orbital cellulitis]] | ||
*Forward displacement of the eye | |||
*Can be bilateral as in Graves disease | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Graves Disease (bilateral) | |||
*[[Cavernous sinus thrombosis]] | |||
*Cavernous sinus fistula | |||
*[[Orbital cellulitis]] | |||
*[[Mucormycosis]] | |||
*[[Orbital fractures]] | |||
*[[Orbital hematoma]] | |||
==Workup== | ==Workup== | ||
*Clinical exam ([[Eye Exam]]) | |||
**PERRL, EOMI, visual fields | |||
**Assess for diplopia | |||
**Visual acuity | |||
**Tonopen | |||
*CT with maxillofacial cuts | |||
*Consider CTA or MRI/MRV | |||
==Management== | ==Management== | ||
*Management depends of pathophysiology | |||
*Increased IOP may require a lateral [[Canthotomy]] | |||
==See Also== | ==See Also== | ||
*[[Lateral Canthotomy]] | *[[Lateral Canthotomy]] | ||
==Sources== | ==Sources== | ||
Revision as of 22:14, 30 December 2014
Background
- Forward displacement of the eye
- Can be bilateral as in Graves disease
Differential Diagnosis
- Graves Disease (bilateral)
- Cavernous sinus thrombosis
- Cavernous sinus fistula
- Orbital cellulitis
- Mucormycosis
- Orbital fractures
- Orbital hematoma
Workup
- Clinical exam (Eye Exam)
- PERRL, EOMI, visual fields
- Assess for diplopia
- Visual acuity
- Tonopen
- CT with maxillofacial cuts
- Consider CTA or MRI/MRV
Management
- Management depends of pathophysiology
- Increased IOP may require a lateral Canthotomy