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25 Cards in this Set
- Front
- Back
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Signs: Eyelid edema, ptosis and warmth
Occurs anterior to the orbital septum |
Preseptal Cellulitis
Most commonly from acute hordeolum, infection or puncture wound |
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Eyelid edema, redness
Recent fever, sinus or dental infection posterior to orbital septum Decreased VAs, proptosis |
Orbital Cellulitis
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8:1 female to male ratio, middle age
prominent eyes, chemosis, FB sensation, pain, diplopia, decreased VA, and color vision loss uni or bilateral proptosis and upper lid retraction |
Thyroid Eye Disease (Graves)
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Term for upper eyelid lag during downgaze; this occurs in thyroid eye disease
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Von Graefe's sign
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Triad of: Chemosis, pulsatile proptosis, and ocular bruit.
Usually result of closed head trauma |
Carotid-Cavernous Fistula (CCF)
results from an abnormal communication between the arterial and venous system |
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Most common benign orbital tumor in adults
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Cavernous Hemangioma
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Most common benign orbital tumor in children
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Capillary Hemangioma
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Most common primary pediatric orbital malignancy; rapid bone destructing tumor with progressive unilateral proptosis. Average age: 7
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Rhabdomyosarcoma
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Most commonly arises from a tumor in the abdomen, most common secondary pediatric orbital malignancy
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Neuroblastoma
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Most common intrinsic tumor of the optic nerve
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Optic Nerve Glioma (Juvenile pilocytic astrocytoma)
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Most commonly affects middle age women
Most common benign brain tumor |
Meningioma
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50-70 yr old, APD, progressive vision loss and progressive proptosis are typical signs in these pts
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Lymphoma
50% of pts with orbital disease develop systemic involvement, of which 90% have a 5 yr survival rate |
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You have a pt with progressive vision loss, proptosis, diplopia and an APD. What are you thinking? In other words, your pt probably has a...
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Orbital tumor
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Rare. Can be acute, recurrent, or chronic. Unilateral, sudden onset of pain, red eye, diplopia. Proptosis and or EOM restrictions, periorbital swelling, chemosis, increased IOP...20-50 yr old
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Orbital Pseudotumor
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Pts often present with painful exophthalmoplegia and diplopia due to ipsilateral palsies of CN 3,4 and 6. Rare, idiopathic orbital inflammation that can affect cavernous sinus and SOF
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Tolosa-Hunt Syndrome
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Redness, burning, FB sensation, ocular irritation
papules on cheek and forehead with telangiectasia, rhinophyma and facial flushing |
Ocular Rosacea
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Often results from makeup, shampoo, soaps, hair spray, fingernail polish, etc.
Acute swelling, redness, itching and tearing |
Contact Dermatitis
Type 4 hypersensitivity |
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Rare. 2:1 females. 65 yr old
Subacute onset of nonspecific symptoms: redness, dryness, FB, or decreased VA Conj fibrosis and scarring, bilateral symblepharon |
Ocular Cicatricial Pemphigoid
May be drug induced from timolol, epinephrine, pilocarpine and others |
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Systemic prodrome of fever, malaise, HA, nausea, vomiting which is followed by skin and ocular lesions (diffuse conjunctivitis etc) Most commonly drug induced (sulfonamide, phenytoin, PCN, etc)
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Steven Johnson Syndrome
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Hard, painless, immobile nodule without redness
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Chalazion
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Pain, warmth, redness, swelling, history of self tx.
Caused by acute staphylococcus infections |
Hordeolum
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Age related loss of muscle tone of the orbicularis with age will cause
Sign: exposure keratopathy, epiphora, brow ptosis |
Ectropion
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ranges from mild pk to ulceration and pannus
May result in trichiasis and/or distichiasis |
Entropion
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Most common in obese men with obstructive sleep apnea.
Chronic, usually bilateral, red eyes in morning Chronic papillary conjunctivitis |
Floppy Eyelid Syndrome
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Spasms of orbicularis oculi, procerus, and corrugator musculature. Involuntary, sustained, repetitive bilateral twitching. Mean age: 56
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Benign Essential Blepharospasm (BEB)
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