Explore the latest in diseases of the orbit, including diagnosis and management of fractures, infection, and more.
A woman in her early 30s with a history of hypertension and opioid abuse presents with painful proptosis and mild epistaxis of the right eye. Two weeks later, proptosis and periocular edema develop in the left eye. Neither condition is related to trauma. What would you do next?
A 17-year-old African American boy was seen at an ophthalmology clinic with 3 weeks of a drooping left eyelid. A computed tomographic scan of the orbits was obtained, which showed enlargement of the left orbital fat compartments but no evidence of left orbital mass or extraocular muscle enlargement. What would you do next?
A 54-year-old Cambodian woman presented for evaluation of a left orbital mass and 2 years of progressive, painless, left-sided proptosis. What would you do next?
An 8-year-old boy presented to the pediatric emergency department with 2 weeks of fatigue and 3 days of double vision, ptosis, and painless periorbital swelling of the left eye.
This study proposes the use of a sublabial incision without a lower eyelid incision to address zygomaticomaxillary complex fractures involving the orbital rim.
This cohort study examines the immunohistochemical phenotype of orbital lymphocytes and clinical features in patients with Graves orbitopathy.
A woman in her 60s presented with sinus pressure progressing to dental pain; imaging revealed a mass arising from the skull base and nasopharynx and involvement of the right posterior orbit. What is your diagnosis?
An adolescent girl presented with multiple, slowly growing masses of the face and head, significant bilateral exophthalmos, visual changes, and dental malocclusion, but no clinical signs of endocrinopathy. What is your diagnosis?
This database analysis uses the American College of Surgeons National Surgical Quality Improvement Program Participant User File to characterize the epidemiologic, surgical, and hospitalization patterns and postoperative complications in patients undergoing repair of orbital floor fracture.
A 45-year-old man presents with a .22-caliber bullet in his right orbit. What would you do next?
This case report describes a 60-year-old man who presented with a 2-year history of bilateral, progressive, and painless proptosis and left blepharoptosis.
This international multicenter cohort study characterizes the clinical features of ocular adnexal mantel cell lymphoma in 55 patients who received treatment from 1980 through 2015 at any of 6 health care centers.
This cohort study tests the a priori hypothesis that gene expression profiles would complement clinical and histopathologic evaluations in identifying well-characterized diseases and in subdividing nonspecific orbital inflammation into clinically relevant groups.
A 39-year-old man presented with double vision after scuba diving. Magnetic resonance imaging of the orbit showed a fusiform heterogeneous peripherally enhancing extraconal mass within the superior orbit on the right, resulting in proptosis with downward displacement of the right globe. What would you do next?
A man in his 40s presents with a 6-month history of his left eye gradually bulging out, binocular diplopia, and a minimally enhancing soft tissue mass in the superotemporal left orbit. What would you do next?
This cadaver study defines the biomechanical factors associated with orbital floor fractures using a drop tower with an accelerometer to measure impact force on the globe and rim of cadaver heads affixed with strain gauges.
This study defines consensus criteria for diagnosis of idiopathic orbital inflammation using a survey of members of the Expert Panel of the Orbital Society.
A teenage boy had deteriorating vision and swelling in his right eye, right ear pain, and forehead tenderness; endoscopy revealed a fleshy, red soft-tissue mass in the superior nasal cavity. What is your diagnosis?
A Hispanic woman in her 60s presented to the oculoplastics clinic with a 1-week history of pain, redness, and swelling in the medial aspect of the right periorbital region. What would you do next?
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