731 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 ... presented with retro-orbital ... #Ophthalmoplegia ... #Orbital #Apex
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
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
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
Instructions The orbit ... acute increase in orbital
Atraumatic Red Eye - Differential Diagnosis Algorithm
Lids / Orbit / Lacrimal System:
 • Blepharitis
 • Stye
Algorithm Lids / Orbit ... cellulitis • Orbital
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... #internuclear #ophthalmoplegia
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 ... crowding at the orbital ... Orbital Apex Syndrome
Preseptal Cellulitis vs Orbital Cellulitis
Preseptal Cellulitis
 • Unlikely to have complications
 • Due to external source
Cellulitis vs Orbital ... Strep, Anaerobes Orbital ... #Preseptal #orbital