Proptosis

Background

Proptosis in a woman with retrobulbar abscess and orbital cellulitis
  • Forward displacement of the eye
  • Can be bilateral as in Graves disease

Differential Diagnosis

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

See Also

References