Proptosis: Difference between revisions
ClaireLewis (talk | contribs) (→Workup) |
ClaireLewis (talk | contribs) (→Workup) |
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**Assess for diplopia | **Assess for diplopia | ||
**Visual acuity | **Visual acuity | ||
**Intraocular pressure measurement ([[Tono-Pen]] | **Intraocular pressure measurement (see [[Tono-Pen use]]) | ||
*CT with maxillofacial cuts | *CT with maxillofacial cuts | ||
*Consider CTA or MRI/MRV | *Consider CTA or MRI/MRV | ||
Revision as of 20:27, 15 July 2016
Background
- Forward displacement of the eye
- Can be bilateral as in Graves disease
Differential Diagnosis
- Graves' disease (bilateral)
- Cavernous sinus thrombosis
- Cavernous sinus fistula
- Orbital cellulitis
- Mucormycosis
- Orbital fractures
- Orbital hematoma
Workup
- Clinical exam (Eye Exam)
- PERRL, EOMI, visual fields
- Assess for diplopia
- Visual acuity
- Intraocular pressure measurement (see Tono-Pen use)
- CT with maxillofacial cuts
- Consider CTA or MRI/MRV
Management
- Management depends of pathophysiology
- Increased IOP may require a lateral Canthotomy