Jump to first page Orbital Disease Clinical Examination Mounir Bashour, M.D., C.M.

Jump to first page History

Jump to first page Visual Function n Va, Na u axial globe compression u optic nerve compression n Color--Plates, Red Desat n VF--screening +/- HVF u blind spot, cecocentral/central, peripheral const., junctional n RAPD u What does loss of RAPD mean?

Jump to first page Globe Position/Movement n Ductions/Versions/Phoria/Tropia n Pupil from midpoint, Pupil height n Hertel u psedoproptosis--myopia (A-scan) n Variability u pulse--arterial, sphenoid dysplasia NF u valsalva--venous u enophthalmos with ductions

Jump to first page Paplapation n Paplation--compare to opposite u position, extent, hardness, surface characteristics n Fixation to globe, eyelids, bone n Lymph nodes n Temporalis contour

Jump to first page Eyelid Changes n Contour n Position--MRD, lid retraction n Movement--lev fxn n Sulci, profile and color n Eyelid crease n Scleral show

Jump to first page Periorbital Function n V1, V2, V3 n VII n Anisocoria n Irrigation of Lacrimal system

Jump to first page Globe Exam n Conjunctiva--pigment, vessels n Episclera/Sclera--scleritis n Cornea--dryness n AC n Iris--Lisch nodules n Optic Nerve--edema, OC shunt n Vessels n Choroid--striae

Jump to first page Systemic Signs n Thyroid n Nasophaynx, sinuses, mouth n Skin--NF n Fingers