non-inflammatory simple proptosis
Introduction
Introduction to non-inflammatory simple exophthalmos The onset is slow, without acute or severe systemic or local symptoms. This exudatory state, which is distinct from the symptoms of inflammatory exophthalmos, is mainly caused by orbital tumors or systemic lesions. The disease often occurs suddenly, is unilateral, has spontaneous pulsation, so when the arteries contract, the eyeball is impulsive, and when the artery is dilated, the eyeball is slightly retracted. Hemorrhoids and conjunctival vascular congestion and edema, retinal vein tortuosity and hemorrhage, papilledema, which greatly affects vision. The patient complained that he could hear the continuous rumble. The stethoscope can be heard on the eyelids. If you use your finger to press the eyeball, you can infect the pulsation, and the degree of the eye can be significantly reduced. The compression of the arteries can completely subside. Due to the traction of the trigeminal nerve endings, significant painful infections can still be caused. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: optic disc edema
Cause
Non-inflammatory simple exophthalmia
Intraorbital varices, sinus arteriovenous fistula, traumatic eyeball dislocation or massive blood in the sputum.
Prevention
Non-inflammatory simple exophthalmos prevention
Normal eyelid eyesight (the distance from the lateral edge of the eyelid to the forefront of the cornea) is generally no more than 16 mm, but the eyesight of myopia may be slightly larger. If there is no myopia, the eyesight is more than 16 mm. It is considered to have a sharp eye, and the eye-opening degree of simple exophthalmos is generally no more than 20 mm.
Complication
Non-inflammatory simple exophthalmos complications Complications optic disc edema
Tumor-induced eyeballs, in addition to secondary infections or highly sinister, generally progress slowly, eye movement disorders are not obvious, and local no pain, tenderness, congestion, edema, systemic fever and increased white blood cells.
Symptom
Non-inflammatory simple exophthalmos symptoms Common symptoms Retinal vein variability anger eyeballs prominent papilledema
First, traumatic eyeballs:
Most of the pain is acute subacute. The eyeball is highly prominent, and the eyelids are subcutaneous and subconjunctival hemorrhage. After the occurrence must be compressed with a bandage, so as not to continue bleeding, long-term optic nerve pressure to form edema is easy to cause atrophy.
Second, intermittent eyeballs:
This kind of exophthalmos appears in a low-pitched breath, that is, the eyeball protrudes in the case of venous retention. When standing or lying on his back, it disappears completely. It can be the result of a venous venous return disorder.
Third, pulsating eyeballs:
The disease often occurs suddenly, is unilateral, has spontaneous pulsation, so when the arteries contract, the eyeball is impulsive, and when the artery is dilated, the eyeball is slightly retracted. Hemorrhoids and conjunctival vascular congestion and edema, retinal vein tortuosity and hemorrhage, papilledema, which greatly affects vision. The patient complained that he could hear the continuous rumble. The stethoscope can be heard on the eyelids. If you use your finger to press the eyeball, you can infect the pulsation, and the degree of the eye can be significantly reduced. The compression of the arteries can completely subside. Due to the traction of the trigeminal nerve endings, significant painful infections can still be caused.
Examine
Non-inflammatory simple exophthalmos examination
The disease often occurs suddenly, is unilateral, has spontaneous pulsation, so when the arteries contract, the eyeball is impulsive, when the artery is dilated, the eyeball is slightly retracted, the conjunctival and conjunctival vascular congestion and edema, retinal vein spasm The expansion and hemorrhage, the papilledema, and the extreme impact on vision, the patient complained of continuous rumbling, the stethoscope can be heard on the eyelids, such as pressing the eye with a finger, can be infected with pulsation, and The degree of exudation can be significantly reduced and the compression of the ipsilateral common carotid artery can completely resolve, and the trigeminal nerve endings can be induced to cause significant painful infection.
Fundus examination showed retinal vein angulation, blood stasis, papilledema.
Diagnosis
Diagnosis and differentiation of non-inflammatory simple exophthalmos
diagnosis:
Tumor-induced eyeballs, in addition to secondary infections or highly malignant, generally progress slowly, eye movement disorders are not obvious, and local no pain, tenderness, congestion, edema, systemic fever and increased white blood cells. Except that the tumor is located in the muscle cone to make the eyeball protrude to the front, the other eyeballs are more inclined to the opposite side of the tumor. If the edge of the tumor can be touched in the depth of the iliac crest, the diagnosis is clear, otherwise ultrasound examination or X-ray filming, CT examination, etc. can be performed to further confirm the diagnosis.
Differential diagnosis :
The onset is slow, without acute or severe systemic or local symptoms. This exudatory state, which is distinct from the symptoms of inflammatory exophthalmos, is mainly caused by orbital tumors or systemic lesions.
