3155 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Apex Syndrome ... presented with retro-orbital ... Ophthalmoplegia #Orbital ... #Apex #Syndrome ... Ophthalmology #PhysicalExam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... Apex Syndrome secondary ... Orbital Apex Syndrome ... #Apex #Syndrome ... ophthalmology #physicalexam
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
• Sjogren's syndrome ... dermatitis (CD) Orbital ... thrombosis • Orbital ... • Nephrotic syndrome ... Differential #Diagnosis #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... pupil (trauma/orbital ... #Adies #Pupil #PhysicalExam
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
No orbital bruit ... The syndrome of ... malformations within the orbit ... ophthalmology #physicalexam
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
Tolosa-Hunt Syndrome ... • Unilateral orbital ... sinus, superior orbital ... fissure or orbit ... #Tolosa #Hunt #Syndrome
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
encephalopathy, Orbital ... apex syndrome, ... Miller-Fisher syndrome ... Ischemic neuropathy, Orbital ... , pseudotumor, Orbital
Orbital Emphysema following ocular trauma and sneezing.

#Orbital #Emphysema #ocular #physicalexam #ophthalmology #clinical #video #crepitus
Orbital Emphysema ... #Orbital #Emphysema ... #ocular #physicalexam
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 ... • Involves the orbit ... Blindness #Orbital
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
thrombosis) - Orbital ... Vascular - Orbital ... hemangioma - Orbital ... Tvumor - Orbital ... - Spheno-orbital