Orbit Flashcards

1
Q

Primary clinical signs of orbital disease

A

Exophthalmos
enophthalmos
Strabismus

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2
Q

Buphthalmos

A

Absolute enlargement of the globe secondary to chronic glaucoma

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3
Q

How to test for buphthalmos

A

corneal diameter measurement

axis of globe measured with ultrasonography

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4
Q

Exopthalmos

A

rostral displacement of globe

Globe is normal size

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5
Q

Enophthalmos

A

recession/retraction of the globe into the orbit

+/- narrowing of the palpebral fissure

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6
Q

Strabismus

A

involuntary deviation of the globe from the primary position

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7
Q

Some causes of exopthalmos

A
abscess
cellulitis
neoplasia
zygomatic mucocele
vascular anomaly
hemorrhage secondary to trauma
...
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8
Q

causes of enophthalmos

A
congenital 
phthisis bulbi
microphthalmia
pain
Horner's syndrome
chronic inflammation
atrophy of orbital tissues
starvation/dehydration
orbital fractures
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9
Q

Causes of strabisumus

A
neoplasia
proptosis
congenital
masticatory myositis
zygomatic mucocele
lacrimal cyst
hydrocephalus
orbital fractures
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10
Q

When orbital disease is suspected, what is the initial examination

A

palpation of eye and periocular structures
digital retropulsion of the globe
Examination of oral cavity

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11
Q

Resistance of opening the mouth is typical of what

A

retrobulbar abscesses

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12
Q

Orbital cellulitis etiology

A
trauma
foreign bodies
extension of sinusitis
bone sequestration
animal chewing on bones/stick
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13
Q

Clinical signs of orbital cellulitis/abscess

A
fever
pain upon opening mouth
chemosis
exophthalmos
leukocytosis
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14
Q

Most orbital neoplasia’s in dogs are primary or secondary

A

primary

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15
Q

most orbital neoplasia’s in cats are primary or secondary

A

secondary

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16
Q

Prognosis of orbital neoplasia

A

90% are malignant

Can be treated with early and aggressive therapy

17
Q

Clinical signs of orbital neoplasia

A

same as orbital cellulitis except no pain when opening the mouth

18
Q

Treatment of orbital neoplasia

A

Refer that shit ASAP

19
Q

Clinical signs of masticatory muscle myositis

A

exophthalmos
eyelid edema
protrusion of third eyelid
pain when opening mouth

20
Q

Diagnosis of masticatory muscle myositis

A

CS

type 2m myofiber antigen-antibody complexes

21
Q

Clinical signs of idiopathic extraocular polymositis

A

Acute onset of bilateral exophthalmos

chemosis

22
Q

Reasons for proptosis

A

Brachycephalic breeds due to trauma or spontaneously secondary to macropalpebral fissures

23
Q

Prognosis of proptosis

A

Most do not regain vision

Guarded

24
Q

Emergency treatment of proptosis

A

Only anesthetize if stable to perform temporary tarsorrhaphy
Perform lateral canthotomy to replace globe
Do not push globe back in
Suture eyelids over globe
Adjust sutures as glob retracts

25
Q

Preventative therapy of proptosis

A

medial canthoplasty in brachycephalic breeds