The clinical scenario of acute unilateral proptosis with severe chemosis, pain, orbital bruit, restricted ocular motilities, elevated iop and dilated episcleral veins suggests a highflow fistula from trauma or an aneurysmal rupture of the internal carotid artery within the cavernous sinus, necessitating emergent imaging of the brain and orbits. Unilateral proptosis of unexplained origin part ii. Proptosis can be confirmed with exophthalmometry, which measures the distance between the lateral angle of the bony orbit and the cornea. Full text full text is available as a scanned copy of the original print version. Unilateral proptosis of unexplained origin and unilateral superior orbital fissure syndrome of uncertain aetiology mortada orbital syndromes and some rare orbital lesions. Proptosis due to parasitic infestations springerlink. Presentation middle aged slowly growing unilateral axial proptosis decrease in va. Proptosis eye disorders merck manuals professional edition. In one case there was pressure type of optic atrophy due to backward extension of the tumour.
Pdf clinical profile of unilateral proptosis in a tertiary care centre. Orbital exploration has shown that the two commonest causes of unilateral proptosis of unexplained origin are small cavernous haemangiomata and blood cysts in the muscle cone space not extending. Unilateral proptosis of unexplained origin british. Its diagnosis is usually a combined effort of the ophthalmologist, otolaryngologist, neurosurgeon, and radiologist. The first page of the pdf of this article appears above.
Osteogenic sarcoma following irradiation for retinoblastoma. A clinical study of twentyfive cases with unilateral proptosis were studied in different age groups over a period of about 3 years under. Ocular examination inspection head posture, facial asymmetry truepseudo proptosis if true unilateral bilateral axialeccenteric presence of swelling,edema, congestion of lids 19 slide 20. Palpation orbital margin finger can be passed between swelling and globe reducibility hemangioma, lymphangioma, orbital varices 20. Mortada, unilateral proptosis of unexplained origin. Generally, an ebook can be downloaded in five minutes or less. Further study of more cases of unilateral proptosis of unexplained origin has shown that the syndrome can be produced. Clinical profile of unilateral proptosis in a tertiary care centre.
Produces a rapidly progressing unilateral proptosis of sudden onset in a child, seven to. It is defined as forward displacement of the eyeball beyond the orbital margins. Pmc free article articles from the british journal of ophthalmology are provided here courtesy of bmj group. Links to pubmed are also available for selected references. Get a printable copy pdf file of the complete article 9k, or click on a page image below to browse page by page. A clinical study of twentyfive cases with unilateral proptosis were studied in.
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