Orbit Flashcards

1
Q

Define buphthalmos.

A

Abnormal enlargement of the eyeball
Only caused by glaucoma
Size is abnormal, position is normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define enophthalmos.

A

Abnormal recession of the eye within the orbit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define exophthalmos.

A

Abnormal protrusion of the eye from the orbit
Position is abnormal, globe size is normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define Horner’s syndrome.

A

Sympathetic denervation to the eye and ocular adnexa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 4 classical clinical signs for Horner’s syndrome?

A

Enophthalmos
Ptosis
Miosis
Protrusion of the third eyelid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define microphthalmos.

A

A congenitally small and malformed globe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define phthisis bulbi.

A

An acquired shrunken globe, most often from severe or chronic inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define proptosis.

A

Anterior displacement of the globe such that the eyelids are caught behind the equator of the globe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define strabismus.

A

Deviation of one or both eyes, so that both eyes are not directed at the same object

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which species have open orbits? Closed?

A

Open - dogs and cats
Closed - horses and ruminants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the commonly associated clinical signs with exophthalmos?

A

Third eyelid protrusion
Facial swelling
Soft palate bulging
Pain opening mouth
Fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the most common cause of exophthalmos?

A

Orbital volume imbalance:
Orbital neoplasia - non painful
Orbital cellulitis/abscess - painful, working dogs, stick chewers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What must be included in medical management or orbital cellulitis/abscesses?

A

Anti-inflammatory therapy (NSAID or steroid) and antibiotic (broad spectrum - clavamox)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should be kept in mind when doing an enucleation in a cat?

A

The optic chiasm can be affected by direct tension of the eye during enucleation
This can blind the normal/unaffected eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the common clinical signs for enophthalmos?

A

Facial muscular loss (pred head)
Third eyelid protrusion
Entropion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the common causes of enophthalmos?

A

Dehydration
Emaciation or cachexia
Myopathies
Space occupying lesions anterior to the globe
Ocular pain
Horner’s syndrome

17
Q

What are the common causes of stabismus?

A

Normal variation - brachycephalic
Convergent strabismus - siamese
Ventrolateral divergent strabismus - hydrocephalus
Mechanical or nervous dysfunction of any rectus muscle
Imbalance of orbital volume

18
Q

What does CN 3 do?

A

Dorsal, ventral, medial rectus muscles and ventral oblique

19
Q

What does CN 4 do?

A

Dorsal oblique

20
Q

What does CN 6 do?

A

Retractor bulbi and lateral rectus

21
Q

What is the #1 complication for tarsorrhaphy treatment in proptosis cases?

A

Corneal ulceration - mostly from misplaced sutures