7210 results
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 ... #Ophthalmoplegia ... #Orbital #Apex ... #Syndrome #Clinical
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... evaluation for possible orbital ... ptosis, severe ophthalmoplegia ... Orbital Apex Syndrome ... Ophthalmicus #HZO #clinical
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Supranuclear lesions • Ophthalmoplegia ... laceration or orbital ... prolapse of the orbital
Lateral Canthotomy with Cantholysis
The treatment of orbital compartment syndrome cause by a retrobulbar hematoma causing symptoms—namely
The treatment of orbital ... cherry red macula, ophthalmoplegia ... just inside the orbital ... #Cantholysis #clinical
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... irritation, peri orbital ... Thyroid thrill • Ophthalmoplegia
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... Pathogenesis and Clinical ... anterior to the 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,
Diplopia TIER 1-CRITICAL ... encephalopathy, Orbital ... Graves disease), Ophthalmoplegic ... Ischemic neuropathy, Orbital ... , pseudotumor, Orbital
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
thrombosis) - Orbital ... Vascular - Orbital ... hemangioma - Orbital ... Tvumor - Orbital ... Eye redness • Ophthalmoplegia
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
• Unilateral orbital ... sinus, superior orbital ... fissure or orbit
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... #internuclear #ophthalmoplegia ... WEBINO #Neurology #Clinical