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    Evaluation of Proptosis Final

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    Prathibha M Chachadi
    This document discusses the evaluation of proptosis, beginning with definitions of proptosis, pseudo-proptosis, and exophthalmos. It then examines the causes of proptosis including thyroid eye disease, inflammatory conditions, vascular abnormalities, tumors, trauma, and developmental anomalies. The document outlines the examination of a patient with proptosis, including assessing age, sex, history, physical exam findings, ocular exam, imaging studies, and management considerations. Key areas of the ocular exam are discussed such as versions, ductions, tonometry, exophthalmometry, and fundus evaluation.

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    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Evaluation of Proptosis Final

    Uploaded by

    Prathibha M Chachadi
    1K views61 pages
    This document discusses the evaluation of proptosis, beginning with definitions of proptosis, pseudo-proptosis, and exophthalmos. It then examines the causes of proptosis including thyroid eye disease, inflammatory conditions, vascular abnormalities, tumors, trauma, and developmental anomalies. The document outlines the examination of a patient with proptosis, including assessing age, sex, history, physical exam findings, ocular exam, imaging studies, and management considerations. Key areas of the ocular exam are discussed such as versions, ductions, tonometry, exophthalmometry, and fundus evaluation.

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    classification of proptosis

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    This document discusses the evaluation of proptosis, beginning with definitions of proptosis, pseudo-proptosis, and exophthalmos. It then examines the causes of proptosis including thyroid eye disease, inflammatory conditions, vascular abnormalities, tumors, trauma, and developmental anomalies. The document outlines the examination of a patient with proptosis, including assessing age, sex, history, physical exam findings, ocular exam, imaging studies, and management considerations. Key areas of the ocular exam are discussed such as versions, ductions, tonometry, exophthalmometry, and fundus evaluation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views61 pages

    Evaluation of Proptosis Final

    Uploaded by

    Prathibha M Chachadi
    This document discusses the evaluation of proptosis, beginning with definitions of proptosis, pseudo-proptosis, and exophthalmos. It then examines the causes of proptosis including thyroid eye disease, inflammatory conditions, vascular abnormalities, tumors, trauma, and developmental anomalies. The document outlines the examination of a patient with proptosis, including assessing age, sex, history, physical exam findings, ocular exam, imaging studies, and management considerations. Key areas of the ocular exam are discussed such as versions, ductions, tonometry, exophthalmometry, and fundus evaluation.

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    EVALUATION OF PROPTOSIS

    DEFINITION
    

    PROPTOSIS-PASSIVE PROTRUSION OF THE GLOBE FROM SOCKET. EXOPHTHALMUS-AN ACTIVE OR DYNAMIC PROCESS CAUSING PROPTOSIS. LUXATION ( DISLOCATION) OF GLOBE

    PSEUDO-PROPTOSIS

    ENLARGED GLOBE RETRACTION OF LIDS


    ABNORMALITIES OF THE ORBIT

    EXOPHTHALMOS
     

    DUE TO SYMPATHETIC STIMULATION ENDOCRINE DISEASE

    BILATERAL PROPTOSIS THYROID EYE DISEASE

    THYROID EYE DISEASE

    PROPTOSIS
      

      

    PHYSIOLOGICAL PROPTOSIS ACUTE PROPTOSIS INTERMITENT OR TRANSITORY PROPTOSIS PULSATING PROPTOSIS UNILATERAL PROPTOSIS BILATERAL PROPTOSIS

    INTERMITENT PROPTOSIS
          

    ORBITAL VARICES (90%) VASCULAR ORBITAL NEOPLASMS RECURRENT ORBITAL HEAMORRHAGE VENOUS CONGESTION PERIODIC ORBITAL EDEMA RECURRENT EMPHYSEMA INTERMITENT ETHMOIDITIS

    PULSATING PROPTOSIS
    

    VASCULAR PULSATIONS(A)ANEURYSMS OF CAROTID OR OPHTHALMIC ARTERY : 1.A-V ANEURYSM (COMMONEST LESION) a) in the cavernous sinus (90%) b) in the orbit c) in the neck 2.SACCULAR ANEURYSMS (B)VENOUS DILATATIONS; THROMBOSIS

    PULSATING PROPTOSIS
    

    CEREBRAL PULSATIONSBECAUSE OF DEFECTIVE ORBITAL WALL (A) CONGENITAL (B)TRAUMATIC (C)EROSION OF ORBITAL WALL

    UNILATERAL PROPTOSIS
          

    CRANIAL DEFORMITIES (RARE) INFLAMMATORY CIRCULATORY DISTURBANCE CYSTS AND TUMOURS IN ASSOCIATION WITH GENERAL DISEASE TRAUMATIC LACK OF SUPPORT

    ORBITAL CELLULITIS

    ETHMOIDAL MUCOCELE

    MAXILLARY CARCINOMA

    UNILATERAL PROPTOSIS
    

    INFLAMMATORY LESIONS (A)ACUTE INFLAMMATORY LESIONS (B)CHRONIC INFLAMMATORY LESIONS 1.RESEMBLING A TUMOUR WITHOUT INVOLVING SINUS FORMATION 2.WITH CHRONIC SINUS FORMATION AND DISCHARGE

    UNILATERAL PROPTOSIS
    

    CIRCULATING DISTURBANCES1.EDEMA 2.RETRO BULBAR HEAMORRHAGE 3.VARICOCELE 4.ANEURYSMS

    UNILATERAL PROPTOSIS
       

    CYSTS AND TUMOUR IN GENERAL DSEASE TRAUMATIC LACK OF SUPPORT

    DERMOID CYST

    PLEOMORPHIC ADENOMA OF ORBITAL PART OF LACRIMAL GLAND

    PLEXIFORM NEUROFIBROMATOSIS

    BILATERAL PROPTOSIS
          

    DEVELOPMENTAL ANOMALIES OF SKULL OSTEOPATHIES CEPHALOCELES EDEMA INFLAMMATIONS NEOPLASMS SYSTEMIC DISEASE

    CROUZON SYNDROME

    APERT SYNDROME

    SHALLOW ORBIT ROBERT SYNDROME

    SHALLOW ORBIT ROBERT SYNDROME

    THYROID EYE DISEASE

    AGE-CHILDHOOD
            

    MAL-FORMATIONS CHORISTOMAS HAMARTOMAS PRIMARY NEOPLASMS SECONDARY TUMOURS METASTATIC TUMOURS LEUKAMIAS AND LYMPHOMAS HISTIOCYTOSES AND XANTHOGRANULOMAS INFLAMMATIONS

    CAPILLARY HAEMANGIOMA WITH SUBCUTANEOUS STRAWBERRY NEAVUS

    CAPILLARY HAEMANGIOMA

    CAPILLARY HAEMANGIOMASHOWING ENLARGEMENT IN SAME PATIENT

    POSTERIOR ORBITAL ENCEPHALOCELE?NF-1

    RAPIDLY EXPANDING ORBITAL MASSES IN CHILDREN


              

    RHABDOMYOSARCOMA OTHER PRIMARY SARCOMA NEUROBLASTOMA METASTATIC LESIONS MYELOID SARCOMA BURKITTS LYMPHOMA EOSINOPHILLIC GRANULOMA CAPILLARY HAEMANGIOMA;LYMPHANGIOMA TRAUMATIC HEAMATOMA CYSTS- DERMOID,ANEURYSMAL BONE CYST INFLAMMATORY PSEUDOTUMOUR CELLULITIS/ABSCESS

    METASTATIC NEUROBLASTOMA

    EXAMINATION OF A CASE OF PROPTOSIS


           

    AGE SEX HISTORY GENERAL PHYSICAL EXAMINATION SYSTEMIC EXAMINATION OCULAR EXAMINATION INVESTIGATIONS MANAGEMENT

    AGE
           

    AT BIRTH, NEONATAL PERIOD UP TO 1 YEAR 1-5 YEARS 5-10 YEARS 10-30 YEARS 30-50 YEARS 50-70 YEARS .>70 YEARS

    SEX
     

    DISEASES COMMON IN MALE DISEASES COMMON IN FEMALE

    HISTORY
            

    SYMPTOMS ONSET DURATION VARIATION SENSORY MOTOR PSYCHOPHYSICAL STRUCTURAL VASCULAR

    PAST HISTORY ; FAMILY HISTORY AND GENERAL PHYSICAL EXAMINATION


        

    INFECTIONS ENDOCRINE DISEASE IMMUNOLOGICAL DISEASE NEOPLASTIC DISEASE SURGERY AND TRAUMA

    OCULAR EXAMINATION
         

    INSPECTION PALPATION REDUCIBILITY PULSATION TRANSILLUMINATION INDUCING PROPTOSIS

    ORBITAL VARICES BEFORE AND AFTER VALSALVA MANUEVER

    ORBITAL VARICES BEFORE AND AFTER VALSALVA MANUEVER

    UNILATERAL ENLARGED GLOBE

    UNILATERAL ENLARGED GLOBE

    OCULAR EXAMINATION
          

    EYELIDS AND ADNEXA CONJUNCTIVA CORNEA ANTERIOR CHAMBER IRIS PUPIL LENS

    EYELID ECCHYMOSIS
    NEUROBLASTOMA EWINGS SARCOMA LEUKEMIA EOSINOPHILLIC GRANULOMA LYMPHANGIOMA ANEURYSMAL BONE CYST TRAUMATIC HAEMATOMA

    LID ECCHYMOSISRHABDOMYOSARCOMA

    CONJUNCTIVAL AND EPISCLERAL INJECTION

    OCULAR EXAMINATION
    

      

    EXTRA OCULAR MOVEMENTS a] versions and ductions b] hierSchbergs test c] forced duction test VISION- ASTIGMATISM; HYPERMETROPIA TENSION- PRIMARY GAZE ; SUPERIOR GAZE .SAC NLD BLOCK

    MEASUREMENTS
    

      

    DISPLACEMENT a] vertical b] horizontal BALLOTMENT EXOPHTHALMOMETRYLACRIMAL GLAND PALPATION

    AXIAL PROPTOSIS- OPTIC NERVE GLIOMA

    EXOPHTHALMOMETRY
     

    DEFINITION TYPES 1. ZEHENDER 2. GORMAZ 3. LUEDDES 4. HERTELS 5. DAVANGERS 6. RADIOGRAPHIC 7. TOPOMETER OF WATSON 8. PERSPEX RULER

    ZEHENDER EXOPHTHALMOMETER

    DAVANGER EXOPHTHALMOMETER

    LUEDDES EXOPHTHALMOMETER

    HERTELS EXOPHTHALMOMETER

    TOPOMETER OF WATSON

    PERSPEX RULER

    FUNDUS EXAMINATION
       

    VITREOUS RETINA DISC CHOROID

    CHORIO- RETINAL FOLDS

    OPTICOCILIARY SHUNTS

    INVESTIGATIONS
          

    X-RAYS USG CT-SCAN MRI BIOPSY FNAC ORBITAL ANGIOGRAPHY; VENOGRAPHY

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