Proptosis
Revision as of 21:35, 26 September 2020 by Rossdonaldson1 (talk | contribs) (→Differential Diagnosis)
Background
- Forward displacement of the eye
- Can be bilateral as in Graves disease
Clinical Features
Proptosis in a woman with retrobulbar abscess and orbital cellulitis
Differential Diagnosis
- Graves' disease (bilateral)
- Cavernous sinus thrombosis
- Carotid-cavernous fistula
- Orbital cellulitis
- Mucormycosis
- Orbital fractures
- Orbital hematoma
Periorbital swelling images
Blepharitis of eyelashes.
Infant Blepharitis (right)
Bilateral dacryoadenitis
External stye
Internal stye
Acute allergic conjunctivitis
Chronic allergic conjunctivitis
Contact blepharoconjunctivitis
Proptosis due to retrobulbar abscess and orbital cellulitis
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