Orbital Disorders Flashcards
Lateral lid swelling, pain tearing
Inferonasal globe displacement
Sjorgen’s disease
Dacroadenitis
Idiopathic dacroadenitis TX
Corticosteroid PO
Bacterial dacroadenitis TX
Augmentin PO
Refractory or recurrent dacroadenitis TX
BX lacrimal gland
DX tests for dacroadenitis
CT/MRI of orbits
Culture/BX as needed
Narrowing of the lacrimal duct
Dacryostenosis
Dacryostenosis work up
Probing/irrigation of duct
Excessive tearing, pain, mucopurulent discharge from lacrimal duct
Dacryocystitis
Dacryocystitis TX
Topical augmentin
I+D if abscess forms
What is dacryocystitis?
Infection of lacrimal sac due to lacrimal duct obstruction
Red, tender swelling of eyelids, fever, proptosis, elevated WBCs
Orbital Cellulitis
Orbital Cellulitis DX tests
CBC
Culture if open wound present
Serum blood culture if systemic source suspected
CT of orbits
Orbital Cellulitis TX
Broad spectrum ABX
Clindamycin - PCN allergies
Surgical/sinus drainage
Lid lag, lid/conjunctival edema, telangiectasia, proptosis/exophthalmos
Thyroid Eye Disease
Thyroid Eye Disease DX tests
Full thyroid panel
Continued monitoring of px thyroid
CT/MRI/US if thyroid is not the cause
Moderate-Severe thyroid eye disease TX
Prednisone PO
Elevate HOB at night
Radiation/sugery
Thyroid eye disease follow up
Eye exam q3-6 mos
VF testing as needed
Most common orbital blowout fracture type
Orbital zygomatic
Enophthalamus, decreased sensation, extrusion of extraocular muscles, HX of trauma
Orbital blowout fracture
Orbital blowout fracture complications
Loss of vision
Retinal detachment
Vascular compromise
Injury to globe
Orbital blowout fracture TX
Augmentin/azithromycin PO
(prophylaxis)
Corticosteroids PO
Refer to eye surgeon (3-5 days)
20 y.o. male, hx of blunt injury, swinging flashlight sign, decreased vision
Globe rupture
