Grave’s Disease (Thyroid Related Ophthalmopathy)

Grave’s Disease (Thyroid Related Ophthalmopathy) SYMPTOMS Foreign body sensation, diplopia, reduced vision SIGNS Upper eyelid retraction (w/lateral flare), upper lid lag on downgaze (pseudo-von Graefe sign), proptosis, lagophthalmos, periorbital/lid swelling, EOM restriction, exposure keratopathy, optic nerve swelling due to compression Progression/Severity of Grave’s Disease (NOSPECS) N: No symptoms or signs O: Signs but no symptoms…

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Orbital Cellulitis

Orbital Cellulitis SYMPTOMS Eye pain/tenderness, blurry vision, headache/pressure, fever, tooth pain SIGNS Red and swollen eyelid, EOM restriction, proptosis, pain on eye movement, possible APD if there is optic nerve involvement WORK-UP Thorough history: Ask about trauma, surgery, sinus/systemic/tooth infection, immunosuppression, and neck stiffness. Thorough ocular examination: Check for EOM restrictions, proptosis, IOP, optic nerve…

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