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Proptosis - Differential Diagnosis - Unilateral vs Bilateral Unilateral: • Infections (can become bilateral with cavernous sinus
vs Bilateral Unilateral ... Infections (can become bilateral ... thrombosis) - Orbital ... Vascular - Orbital ... Eye redness • Ophthalmoplegia
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome In this specific case, the lesion is bilaterally in the
Wall-eyed bilateral ... inter nuclear ophthalmoplegia ... the lesion is bilaterally ... #Walleyed #bilateral ... #internuclear #ophthalmoplegia
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 Ophthalmoplegia secondary to Orbital Apex Syndrome A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... secondary to Orbital ... presented with retro-orbital ... #Ophthalmoplegia ... #Orbital #Apex
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 Orbital Cellulitis: Pathogenesis and Clinical Findings Definitions: a. Chemosis: Edema of the bulbar conjunctiva b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... anterior to the orbital ... Inflammation of orbital ... eye movement or opthalmoplegia ... • Involves the orbit
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital ... Graves disease), Ophthalmoplegic ... Ischemic neuropathy, Orbital ... , pseudotumor, Orbital
Differential Diagnosis for Vision Loss Unilateral, Painful Vision Loss: • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
for Vision Loss Unilateral ... arteritis, Retro-orbital ... optic neuropathy Bilateral ... to eye, Trauma Bilateral ... #bilateral #painful
Tolosa-Hunt Syndrome What? • Unilateral orbital/retrobulbar pain • Paresis of the cranial nerves Ill, IV, VI •
• Unilateral orbital ... sinus, superior orbital ... fissure or orbit
Lateral Canthotomy / Cantholysis - Procedure Instructions The orbit is a relatively closed compartment and an acute
Lateral Canthotomy ... Instructions The orbit ... acute increase in orbital ... #Management #Lateral
Causes of Primary Headaches - Differential Diagnosis Algorithm Unilateral • Migraine (Throbbing/Pulsating) Bilateral • Tension/Stress Headache (Tightening, Band-Like,
Diagnosis Algorithm Unilateral ... Throbbing/Pulsating) Bilateral ... Cluster Headache (Orbital
Lateral Canthotomy and Cantholysis Primary indications - Decreased visual acuity - Intraocular pressure >
Lateral Canthotomy ... red macula - Opthalmoplegia ... Globe rupture #Lateral
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