Proptosis: Difference between revisions
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Revision as of 15:09, 26 June 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
- Tonopen
- CT with maxillofacial cuts
- Consider CTA or MRI/MRV
Management
- Management depends of pathophysiology
- Increased IOP may require a lateral Canthotomy