Proptosis: Difference between revisions
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==Background== | ==Background== | ||
*Forward displacement of the eye | *Forward displacement of the eye | ||
*Can be bilateral as in Graves disease | *Can be bilateral as in Graves disease | ||
==Clinical Features== | |||
[[File:Proptosis 2014-10-28 12-32.jpg|thumb|Proptosis in a woman with retrobulbar [[abscess]] and orbital cellulitis]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 21:33, 26 September 2020
Background
- Forward displacement of the eye
- Can be bilateral as in Graves disease
Clinical Features
Proptosis in a woman with retrobulbar abscess and orbital cellulitis
Differential Diagnosis
- Graves' disease (bilateral)
- Cavernous sinus thrombosis
- Carotid-cavernous fistula
- Orbital cellulitis
- Mucormycosis
- Orbital fractures
- Orbital hematoma
Evaluation
- 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