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==Differential Diagnosis==
==Differential Diagnosis==
*Graves Disease (bilateral)
*[[Graves' disease]] (bilateral)
*[[Cavernous sinus thrombosis]]
*[[Cavernous sinus thrombosis]]
*Cavernous sinus fistula
*Cavernous sinus fistula

Revisión del 04:55 2 ene 2015

Background

Proptosis in a woman with retrobulbar abscess and orbital cellulitis
  • Forward displacement of the eye
  • Can be bilateral as in Graves disease

Differential Diagnosis

Workup

  • Clinical exam (Eye Exam)
    • PERRL, EOMI, visual fields
    • Assess for diplopia
    • Visual acuity
    • Tonopen
  • CT with maxillofacial cuts
  • Consider CTA or MRI/MRV

Management

  • Management depends of pathophysiology
  • Increased IOP may require a lateral Canthotomy

See Also

Sources