Orbital trauma - Revision history

Rossdonaldson1: /* Clinical Features */

2023-01-18T20:00:52Z

Clinical Features

← Revisión anterior		Revisión del 20:00 18 ene 2023
Línea 24:		Línea 24:
	**If photophobia in affected and unaffected eye, suspect traumatic iritis		**If photophobia in affected and unaffected eye, suspect traumatic iritis
	*[[vision loss\|Decreased visual acuity]] +/- proptosis		*[[vision loss\|Decreased visual acuity]] +/- proptosis
	**Clinically suspect [[~~Orbital Hematoma~~]], check [[intraocular pressure\|IOP]] if open globe has been ruled out		**Clinically suspect [[orbital hematoma]], check [[intraocular pressure\|IOP]] if open globe has been ruled out

	===Exam===		===Exam===

2023-01-18T20:00:37Z

Clinical Features

← Revisión anterior		Revisión del 20:00 18 ene 2023
Línea 15:		Línea 15:
	**Evidence of significant trauma; consult ophtho		**Evidence of significant trauma; consult ophtho
	*Extra-ocular movements		*Extra-ocular movements
	**Restricted upgaze or lateral gaze suggests [[~~Orbital Fracture~~]] with entrapment		**Restricted upgaze or lateral gaze suggests [[orbital fracture]] with entrapment
	***Obtain CT face		***Obtain CT face
	*Orbital Rim		*Orbital Rim
Línea 40:		Línea 40:
	*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)		*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)
	**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]		**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]


	==Differential Diagnosis==		==Differential Diagnosis==

2023-01-18T20:00:21Z

Background

← Revisión anterior		Revisión del 20:00 18 ene 2023
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]		[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*Must assess:		*Must [[Eye exam\|assess]]:
	**Visual acuity		**Visual acuity
	**Anterior chamber		**Anterior chamber

2023-01-18T19:59:52Z

Background

← Revisión anterior		Revisión del 19:59 18 ene 2023
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Schematic diagram of the human eye en.png\|thumb\|Eye anatomy.]]
	*Must assess:		*Must assess:
	**Visual acuity		**Visual acuity

2021-07-28T20:30:13Z

← Revisión anterior		Revisión del 20:30 28 jul 2021
Línea 26:		Línea 26:

	===Exam===		===Exam===
			[[File:Teardrop pupil.jpg\|thumb]]
	**Bird's eye view for exophthalmos with retrobulbar hematoma		**Bird's eye view for exophthalmos with retrobulbar hematoma
	**Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)		**Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)
Línea 38:		Línea 39:
	*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)		*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)
	**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]		**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]
	~~[[File:Teardrop pupil.jpg\|thumb]]~~

	==Differential Diagnosis==		==Differential Diagnosis==

2021-07-28T20:28:58Z

Exam

← Revisión anterior		Revisión del 20:28 28 jul 2021
Línea 38:		Línea 38:
	*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)		*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)
	**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]		**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]
			[[File:Teardrop pupil.jpg\|thumb]]

	==Differential Diagnosis==		==Differential Diagnosis==

2021-02-04T17:50:19Z

Clinical Features

← Revisión anterior		Revisión del 17:50 4 feb 2021
Línea 25:		Línea 25:
	**Clinically suspect [[Orbital Hematoma]], check [[intraocular pressure\|IOP]] if open globe has been ruled out		**Clinically suspect [[Orbital Hematoma]], check [[intraocular pressure\|IOP]] if open globe has been ruled out

			===Exam===
	*Exam
	**Bird's eye view for exophthalmos with retrobulbar hematoma		**Bird's eye view for exophthalmos with retrobulbar hematoma
	**Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)		**Worm's view for endophthalmos (blow-out fracture) or malar prominence flattening (zygoma fracture)

2021-02-04T17:50:01Z

Clinical Features

← Revisión anterior		Revisión del 17:50 4 feb 2021
Línea 38:		Línea 38:
	**Teardrop sign ([[globe rupture]]), [[hyphema]], reactivity (swinging flashlight test)		**Teardrop sign ([[globe rupture]]), [[hyphema]], reactivity (swinging flashlight test)
	*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)		*[[intraocular pressure\|Pressure]] (only if rule out globe rupture)
	**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]]		**Check in patients with exophthalmos, afferent nerve defect or evidence of [[retrobulbar hematoma]
	*Fat through wound = septal perforation
	*Raccoon eyes

	==Differential Diagnosis==		==Differential Diagnosis==

2021-02-04T17:49:19Z

Clinical Features

@@ Línea 24: / Línea 24: @@
 *[[vision loss|Decreased visual acuity]] +/- proptosis
 **Clinically suspect [[Orbital Hematoma]], check [[intraocular pressure|IOP]] if open globe has been ruled out
 ==Differential Diagnosis==

2020-08-12T21:28:35Z

Differential Diagnosis