168 results
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
Proptosis - Differential ... thrombosis) - Orbital ... Vascular - Orbital ... Eye redness • Ophthalmoplegia ... @AnnKumfer #Proptosis
Lateral Canthotomy with Cantholysis
The treatment of orbital compartment syndrome cause by a retrobulbar hematoma causing symptoms—namely
The treatment of orbital ... intraocular pressure, or proptosis ... visual acuity. 3) Proptosis ... cherry red macula, ophthalmoplegia ... just inside the orbital
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
retraction or proptosis ... 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 ... anterior to the orbital ... eye movement or opthalmoplegia ... acuity - Proptosis ... • Involves the orbit
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
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
Pulsatile Exophthalmos on Physical Exam - Protrusion and Pulsation of the eyeball

The differential diagnosis of pulsatile
diagnosis of pulsatile proptosis ... carotid-cavernous fistula, orbital ... ophthalmology #proptosis
Proptosis and Chemosis caused by Cavernous Sinus Fistula on Ocular Exam

This 73 presented for blurred, double
Proptosis and Chemosis ... for significant proptosis ... , ophthalmoplegia ... anterior_seg_rocks #proptosis
Lateral Canthotomy and Cantholysis 
Primary indications 
 - Decreased visual acuity 
 - Intraocular pressure >
40 mm Hg - Proptosis ... red macula - Opthalmoplegia
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
• Unilateral orbital ... sinus, superior orbital ... fissure or orbit