11 - Opth - Orbital Disease - Typical Sx + Signs Flashcards
1
Q
10 different symptoms/signs that may occur in orbital disease
A
Diplopia pain/discomfort reduced vision proptosis soft tissue involvement opthalmoplegia (EOMuscle weakness) enopthalmos (posterior displacement) visual dysfunction dynamic properties fundus changes
2
Q
proptosis vs exopthalmos
A
exopthalmos is proptosis when causes by endocrine disease (specifically Grave’s)
3
Q
What soft tissue involvement can occur
A
lid and periorbital oedema
ptosis
conjunctival swelling (chemosis)
4
Q
How might opthalmoplegia occur
A
trauma
tumours
nerve palsies
5
Q
How might enopthalmos occur
A
blowout fracture
small globe
atrophy
6
Q
Visual dysfunction - what goes wrong?
A
poor acuity (eg ON compression) colour abnormalities
7
Q
Dynamic properties include …?
A
pulsation
bruits (due to AV communications)
8
Q
What fundus changes may be seen?
A
optic disc swelling/atrophy choroidal folds (eg in thyroid disease)
