Lids and Orbits A Patient s Perspective. Dr. Paul Cauchi Consultant Ophthalmologist Southern General and Gartnavel General Hospitals, Glasgow
|
|
- Shana White
- 5 years ago
- Views:
Transcription
1 Lids and Orbits A Patient s Perspective Dr. Paul Cauchi Consultant Ophthalmologist Southern General and Gartnavel General Hospitals, Glasgow
2 Overview Pathophsiology. Symptoms. Signs. Management.
3 Pathophysiology Autoimmune-mediated inflammation of the extraocular muscles, orbital fat, and periorbital connective tissue.
4 Pathophysiology Lymphocytic infiltration of orbital tissue causes a release of cytokines like IL-1. Fibroblasts are believed to be the target cells and are extremely sensitive to stimulation by cytokines and immunoglobulins released in the course of an immune response.
5 Pathophysiology Cytokines stimulate quiescent fibroblasts to secrete hyalurnic acid (GAG). This causes a massive increase in tissue osmotic load resulting in muscle oedema, proptosis with subsequent fibrosis and eventually tissue atrophy.
6 Symptoms Can sometimes be non-specific. Sometimes hard for a person to describe symptoms. 2 main groups: Eye surface Orbit (eye socket)
7 Eye Surface Gritty Dry Scratchy Itchy Something in the eye Watery
8 Orbit/Eye socket Pressure feeling Ache Pain behind the eye
9 Signs/Appearance - Patient A disease that steals your identity Starey eyes Bulgy eyes My eyes stick out I can see the whites of my eyes more than before Puffy eyes Red eyes
10 Signs/Appearance - Doctor Lid retraction upper and lower Lid lag Soft tissue swelling Proptosis/Exophthalmos
11 Management ACTIVE OR INACTIVE?
12 ACTIVE Orbital pain (none, at rest, movement) Chemosis Eyelid oedema Conjunctival injection Eyelid injection
13
14
15
16 INACTIVE None of previous signs. Residual disease Stable for a period of time with no progression
17 Activity
18 Management - Active If sight threatening and medical treatment has not worked urgent decompression If severe corneal exposure decompression or lid procedures
19 ACTIVE MEDICAL TREATMENTS OPTIC NERVE COMPRESSION EXPOSURE TOPICAL DECOMPRESSION LID PROCEDURES DECOMPRESSION
20 Management - Inactive Topical tear drops Topical steroids Upper eyelid lowering Lower eyelid raising Orbital decompression
21 Stable Disease No change for 6 months. Individualised treatment. Patient Education/Expectations. Risks/Benefits. Mechanical. Cosmetic.
22 STABLE DECOMPRESSION BONY SOFT TISSUE MUSCLE SURGERY EYELID SURGERY
23 Fat or Orbital Decompression? Fat resection (Olivari) CT/MRI to determine fat/muscle ratio. Proptosis. Soft tissue signs. Lid retraction. Orbital apex crowding. Signs of congestion.
24
25 Bony decompression For severe proptosis For relief of congestion For orbital apex crowding For corneal exposure
26
27 Acrobat Document
28
29
30
31
32
33
34 Bony Decompression
35
36 Complications Loss of vision Diplopia CSF leak Significant haemorrhage Infection Bruising/swelling
37 Soft tissue decompression For reduction in soft tissue signs For more modest reduction in proptosis For simultaneous lid lowering For relief of pressure feeling
38
39
40
41 Soft Tissue Decompression
42
43
44
45
46 Complications Loss of vision Lacrimal gland prolapse Diplopia Haemorrhage Bruising/swelling
47 Upper eyelid lowering Helps with ocular surface symptoms. Cosmesis. Skin crease incision. Recession of Muller s and levator muscles avoiding medial end to preserve contour.
48
49
50 Lower eyelid elevation Lower eyelid retraction often forgotten. Elevation can help exposure Cosmesis Hard palate graft Can use vicryl/goretex
51
52
53 Complications All upper eyelid surgery can lead to orbital haemorrhage and visual loss Under and over corrections
54 EUGOGO Consensus Statement European Journal of Endocrinology(2008)158,
55 Thank You
Graves Ophthalmopathy Overview. Graves Disease Hyperthyroidism TSIgs (anti-tsh-receptor-abs) Graves Disease 10/22/2010
Graves Disease Robert Graves Graves Ophthalmopathy Overview Robert C. Kersten Dept. of Ophthalmology UCSF Triad Hyperthyroidism Eye findings Pretibial Myxedema (phalangeal acropachy-1%) Most common auto-immune
More informationTHYROID EYE DISEASE ORBITAL DECOMPRESSION SURGERY
THYROID EYE DISEASE ORBITAL DECOMPRESSION SURGERY What is thyroid eye disease (TED)? TED is an autoimmune condition where the body s own immune system attacks the tissues of the thyroid gland and the eye
More informationSix Things That Changed How I Manage Graves Disease
Six Things That Changed How I Manage Graves Disease Anthony DeWilde, OD FAAO Kansas City VAMC 6 Things 1. Thyroid status 2. Pathogenesis 3. Ocular signs/symptoms 4. Labs 5. Smoking 6. Mental Health Graves
More informationAnatomy: There are 6 muscles that move your eye.
Thyroid Eye Disease Your doctor thinks you have thyroid orbitopathy. This is an autoimmune condition where your body's immune system is producing factors that stimulate enlargement of the muscles that
More information! Women greater than men (4:1)» Typical of other autoimmune diseases
1 2 3 4 : Overview and Diagnosis Suzanne K. Freitag, M.D. Director, Ophthalmic Plastic Surgery Massachusetts Eye and Ear Infirmary Harvard Medical School! I have no financial disclosures. Learning Objectives!
More informationPatient information leaflet Thyroid Eye Disease
Patient information leaflet Thyroid Eye Disease What is Thyroid eye Disease? Thyroid Eye Disease (TED) is also known as Graves orbitopathy (GO), thyroid ophthalmopathy and thyroid-associated ophthalmopathy.
More informationThyroid Eye Disease. Patient & Family Guide
Patient & Family Guide Thyroid Eye Disease 2018 Register using a self check-in kiosk in the main entrance of the Centennial or Dickson building, Victoria General site. Next, go to the Eye Care Centre in
More informationWhat was going on. Thyroid Related Orbitopathy. Pathophysiology. Definition GALLO EYE AND FACIAL PLASTIC SURGERY 3/16/2017
GALLO EYE AND FACIAL PLASTIC SURGERY What was going on A. She found out the increase to her Premium and Deductible for employee health care next year B. She is getting an over agressive Physical Exam by
More informationTHYROID EYE DISEASE. A General Overview
JAMES R. PATRINELY, MD, FACS CHARLES N.S. SOPARKAR, MD, PHD, FACS 3730 KIRBY DRIVE, SUITE 900, HOUSTON, TX 77098 TELEPHONE (713) 795-0705 FAX (713) 807-0630 THYROID EYE DISEASE A General Overview INTRODUCTION,
More informationValidation of VISA classification for Thyroid Associated Orbitopathy
25 Original Article Validation of VISA classification for Thyroid Associated Orbitopathy Dr M. Subrahmanyam 1, Dr P. Modini 2, Dr K.J. Sivacharan 3, Dr B. Kavya 4 Abstract Aim : To Validate the VISA classification
More informationCLINICAL ASSESSMENT OF PATIENTS WITH GRAVES ORBITOPATHY
44 MEDICINSKI GLASNIK / str. 44-48 Biljana Nedeljković-Beleslin 1 CLINICAL ASSESSMENT OF PATIENTS WITH GRAVES ORBITOPATHY Abstract: Clinical examination is the basis of a good assessment of a patient with
More informationOrbital and Ocular Adnexal Disorders with Red Eyes
Orbital and Ocular Adnexal Disorders with Red Eyes Jason Lee Associate Consultant Department of Ophthalmology and Visual Sciences Practical Ophthalmology for the Family Physician 21 Jan 2017 No financial
More informationJames A. Garrity MD Department of Ophthalmology. Marius N. Stan MD Division of Endocrinology. Mayo Clinic Rochester, MN
James A. Garrity MD Department of Ophthalmology Marius N. Stan MD Division of Endocrinology Mayo Clinic Rochester, MN Epidemiologic and diagnostic considerations for Graves orbitopathy (GO) 1. How common?
More informationAcute Eyes for ED. Enis Kocak. The Alfred Ophthalmology
Acute Eyes for ED Enis Kocak The Alfred Ophthalmology The problem with eyes Things to cover Ocular anatomy Basic assessment Common presentations Eye first aid and procedures Ophthalmic emergencies What
More informationThyroid orbitopathy. Thyroid orbitopathy (TO) is an organ. CLINICAL PRACTICE: Therapeutic review
CLINICAL PRACTICE: Therapeutic review Thyroid orbitopathy Shirley Fung, MBBS, is a research resident, Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of
More information10 Congresso Nazionale Associazione Italiana della Tiroide Cagliari, dicembre 2016 Orbitopa)a basedowiana acuta
10 Congresso Nazionale Associazione Italiana della Tiroide Cagliari, 15-17 dicembre 2016 Orbitopa)a basedowiana acuta Luigi Bartalena Università dell Insubria a Varese Prevalence of Graves orbitopathy
More informationORBIT/OPTIC NERVE DECOMPRESSION HISTORICAL PERSPECTIVE
ORBIT AND OPTIC NERVE DECOMPRESSION Steven D. Schaefer, MD, FACS Professor and Chair Department of Otolaryngology New York Eye and Ear Infirmary New York Medical College HISTORICAL PERSPECTIVE NORMAL AND
More informationGraves Ophthalmopathy Advances in Diagnosis and Treatment CONSTANCE L. FRY, MD ASSOCIATE PROFESSOR OF OPHTHALMOLOGY UT HEALTH SAN ANTONIO
Graves Ophthalmopathy Advances in Diagnosis and Treatment CONSTANCE L. FRY, MD ASSOCIATE PROFESSOR OF OPHTHALMOLOGY UT HEALTH SAN ANTONIO Ophthalmic Manifestations GO is the #1 cause of unilateral and
More informationOrbital decompression surgery for proptosis
Orbital decompression surgery for proptosis Procedure information Information for patients Ophthalmology (Ocular Plastics) Large Print This leaflet explains about the problem you have and how surgery can
More informationOrbital facia. Periororbital facia Orbital septum Bulbar facia Muscular facia
Anatomy Orbital facia Periororbital facia Orbital septum Bulbar facia Muscular facia Physiology of symptoms 1) Proptosis ( exophthalmos) Pseudoproptosis Axial Non axial Pulsating Positional Intermittent
More informationEYE TRAUMA: INCIDENCE
Introduction EYE TRAUMA: INCIDENCE 2.5 million eye injuries per year in U.S. 40,000 60,000 of eye injuries lead to visual loss Introduction Final visual outcome of many ocular emergencies depends on prompt,
More informationThis slide kit covers more complex thyroid eye disease.
An imbalance in the normal level of thyroid hormone in the body can cause thyroid eye disease. If you wish to explore information on the basics of thyroid eye diseases, please first see: https://www.excemed.org/manage-thyroid-online/resources/thyroid-eyedisease
More informationThyroid Eye Disease. A Patient s Guide
Sashank Prasad, MD www.brighamandwomens.org/neuro-ophthalmology A Patient s Guide Symptoms Diagnosis Treatment www.ishaol.com Prognosis What are the symptoms of Thyroid Eye Disease? Patients with Thyroid
More informationSUMMARY OF RANDOMIZED CONTROLLED TRIALS COMPARING DIFFERENT ORBITAL RADIOTHERAPY REGIMENTS AND ORBITAL RADIOTHERAPY TO PLACEBO OR CORTICOSTEROIDS
TABLE e4. SUMMARY OF RANDOMIZED CONTROLLED TRIALS COMPARING DIFFERENT ORBITAL RADIOTHERAPY REGIMENTS AND ORBITAL RADIOTHERAPY TO PLACEBO OR CORTICOSTEROIDS Study Treatment Groups Primary Outcome Measure
More informationEvaluation of Extraocular Muscle Enlargement in Dysthyroid Ophthalmopathy
Evaluation of Extraocular Muscle Enlargement in Dysthyroid Ophthalmopathy Yoko Murakami*,, Takashi Kanamoto*,, Toshikazu Tuboi*,, Toshine Maeda* and Yoichi Inoue* *Olympia Eye Hospital, Tokyo, Japan; Department
More informationCHAPTER-II Thyroid Diseases. by: j. jayasutha lecturer department of Pharmacy practice Srm college of pharmacy srm university
CHAPTER-II Thyroid Diseases by: j. jayasutha lecturer department of Pharmacy practice Srm college of pharmacy srm university Aspects That Will Be Addressed Hyperthyroidism Hypothyroidism Thyroiditis Hyperthyroidism
More informationAn Overview of Thyroid Eye Disease (TED), Teprotumumab and OPTIC Phase 3 Trial Topline Results
An Overview of Thyroid Eye Disease (TED), Teprotumumab and OPTIC Phase 3 Trial Topline Results February 28, 2019 Teprotumumab: fully human monoclonal antibody inhibitor of IGF-1R Forward-Looking Statements
More informationLower Eyelid Blepharoplasty. Mid-Year Seminar AOCOO-HNS Foundation September 21 st, 2013
Lower Eyelid Blepharoplasty Mid-Year Seminar AOCOO-HNS Foundation September 21 st, 2013 The beauty of a woman must be seen from in her eyes, because that is the doorway to her heart, the place where love
More informationTHE STIR SEQUENCE MRI IN THE ASSESSMENT OF EXTRAOCULAR MUSCLES IN THYROID EYE DISEASE
THE STR SEQUENCE MR N THE ASSESSMENT OF EXTRAOCULAR MUSCLES N THYROD EYE DSEASE H. B. HOH! R. D. LATT 2 C. WAKELEy2 J. KABALA2 P. GODDARD 2 M. J. POTTS! and R. A. HARRAD! Bristol SUMMARY Nineteen patients
More informationLower Eyelid Malposition
Oculoplastic Surgeon s DDX for the Red Eye Geeta Belsare Been,MD The Center for Facial Plastic Surgery Barrington, IL Lower Eyelid Malposition Ectropion Involutional Cicatricial Paralytic Entropion Involutional
More informationClinical Study Presence of Dry Eye in Patients with Hashimoto s Thyroiditis
Ophthalmology, Article ID 754923, 4 pages http://dx.doi.org/10.1155/2014/754923 Clinical Study Presence of Dry Eye in Patients with Hashimoto s Thyroiditis Emrah Kan, 1 Elif KJlJçkan, 2 Gulçin EcemiG,
More informationOPHTHALMOLOGY DEPARTMENT Primary care referral guidelines
OPHTHALMOLOGY DEPARTMENT Primary care referral guidelines Contents REFERRAL CATEGIES... 2 Emergency... 2 Urgent... 2 Semi urgent/routine... 2 Not accepted... 2 OPHTHALMOLOGY CONDITIONS NOT ACCEPTED...
More informationGrave s orbitopathy an approach to clinical evaluation and management
Grave s orbitopathy an approach to clinical evaluation and management T W N Karunasena 1, M W S Niranjala 2 Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2012; 2: 106-110 Abstract Grave s
More informationCase Presentation: Indications for orbital decompression in TED: Modern surgical techniques for orbital decompression in TED: Inferomedial
Case Presentation: Jonathan W. Kim, MD Director, Oculoplastic Surgery Stanford Medical Center 61 year old man with active Graves orbitopathy Visual acuity 20/30 OD 20/50 OS Left RAPD Bilateral optic disc
More informationEffect of thyroid hormones of metabolism Thyroid Diseases
Effect of thyroid hormones of metabolism Thyroid Diseases Medical Perspective Aspects That Will Be Addressed Regulation of thyroid hormone secretion Basic physiology Hyperthyroidism Hypothyroidism Thyroiditis
More informationOcular warning signs in GP practice: Paediatric Eye Pointers
Ocular warning signs in GP practice: Paediatric Eye Pointers Dr Benjamin Chang MB, BCh, BAO, MMedSci, FRCS(Irel), FRCS(Edin), FRCOphth(Lond) Senior Consultant Ophthalmology and Visual Sciences Khoo Teck
More informationDr Rachael Neiderer. Ophthalmologist Auckland. 8:35-8:50 Managing Allergic Conjunctivitis & Why Sodium Chromoglycate is Out
Dr Rachael Neiderer Ophthalmologist Auckland 8:35-8:50 Managing Allergic Conjunctivitis & Why Sodium Chromoglycate is Out Allergic conjunctivitis Rachael Niederer Greenlane Clinical Centre, Auckland Case
More informationAssessment and Management of Ocular Trauma. Disclosure I have no direct financial interests in today s subject matter. 3/25/2019. Normal Eye Anatomy
Assessment and Management of Ocular Trauma Samiksha Fouzdar Jain, MD,FRCS Department of Ophthalmology & Visual Sciences Truhlsen Eye Institute Disclosure I have no direct financial interests in today s
More informationMRI masterfile Part 5 WM Heme Strokes.ppt 1
Ocular and Orbital Trauma Eye Trauma: Incidence 1.3 million eye injuries in the US per year. 40,000 of these injuries lead to blindness in the US. Patrick Sibony, MD March 23, 2013 Ophthalmic Emergencies
More informationAuthor: Ida Lucy Iacobucci, 2015
Author: Ida Lucy Iacobucci, 2015 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution-NonCommercial-Share Alike 4.0 License: http://creativecommons.org/licenses/by-nc-sa/4.0/
More informationPaediatric acute ophthalmology. Harry Bradshaw
Paediatric acute ophthalmology Harry Bradshaw Approach Red eye Leukocoria Neurological Trauma Visual loss Red eye Orbital Eyelid Conjunctiva Cornea Uvea Orbital Orbit fixed volume Contiguous with sinuses,
More informationImaging Orbit/Periorbital Injury
Imaging Orbit/Periorbital Injury 9 th Nordic Trauma Radiology Course 2016 Stuart E. Mirvis, M.D., FACR Department of Radiology University of Maryland School of Medicine Fireworks Topics to Cover Struts
More information13/02/1440 بسم ا هلل ا لرحمن ا لر حيم
بسم ا هلل ا لرحمن ا لر حيم 1 Slowly progressive versus rapidly progressive proptosis by Ali M ISMAIL professor of ophthalmology @SOHAG U H Occuloplastic fellow @NNUH Occuloplastic fellow @Cambridge UH
More informationOcular and periocular trauma
Ocular and periocular trauma No financial disclosures. Tina Rutar M.D. Assistant Professor of Clinical Ophthalmology and Pediatrics Director, Visual Center for the Child University of California San Francisco
More informationSurgery for Exophthalmos
Surgery for Exophthalmos Frederick S. Rosen, MD, Faculty Advisor: Matthew W. Ryan, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation April 7, 2004 1 Introduction
More informationEndoscopic transnasal orbital decompression for thyrotoxic orbitopathy
Key words: Endoscopes; Exophthalmos; Keratitis; Orbital diseases; Thyrotoxicosis "# " APW Yuen KYW Kwan E Chan AWC Kung KSL Lam Hong Kong Med J 2002;8:406-10 Queen Mary Hospital, 102 Pokfulam Road, Hong
More informationDr Jo-Anne Pon. Dr Sean Every. 8:30-9:25 WS #70: Eye Essentials for GPs 9:35-10:30 WS #80: Eye Essentials for GPs (Repeated)
Dr Sean Every Ophthalmologist Southern Eye Specialists Christchurch Dr Jo-Anne Pon Ophthalmologist Southern Eye Specialists, Christchurch Hospital, Christchurch 8:30-9:25 WS #70: Eye Essentials for GPs
More informationScrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision
Scrub In What is the function of vitreous humor? a. Maintain eye shape and provide color vision b. Maintain eye shape and refract light rays c. Provide night vision and color vision d. Provide night vision
More informationCALCULATION OF EXTRAOCULAR MUSCLE VOLUME IN PATIENTS WITH GRAVES OPHTHALMOPATHY AND THE CORRELATION WITH DISEASE SEVERITY AND CLINICAL
CALCULATION OF EXTRAOCULAR MUSCLE VOLUME IN PATIENTS WITH GRAVES OPHTHALMOPATHY AND THE CORRELATION WITH DISEASE SEVERITY AND CLINICAL ACTIVITY OF THE GRAVES DISEASE REBECCA RUTH STACK A THESIS SUBMITTED
More informationWhat s New in Thyroid Eye Disease? James A. Garrity MD Mayo Clinic Rochester, MN
What s New in Thyroid Eye Disease? James A. Garrity MD Mayo Clinic Rochester, MN What s New in Thyroid Eye Disease? Diagnosis - TRAb/TSI: diagnosis/prognosis - IgG4: diagnostic confusion Therapy - Surgery:
More informationOphthalmology Unit Referral Guidelines
Ophthalmology Unit Referral Guidelines Austin Health Ophthalmology Unit holds sub-specialty sessions to discuss and plan the treatment of patients with specific ocular conditions. General including cataract
More informationPhone Triage for Optometric Staff ???????? CHEMICAL BURN CHEMICAL BURN
Phone Triage for Optometric Staff There are very few ocular emergencies that you will have to deal with in practice, but it is imperative that you be able to Michelle Welch, O.D. NSU Oklahoma College of
More informationwith laser resurfacing, 36, 37 Cryotherapy, lower eyelid cicatricial ectropion after, 151 Cutler-Beard flap. See Fullthickness
INDEX A Abrasion, from silicone tubing, 230 Acquired immunodeficiency syndrome, eyelid tumor with, 193 AIDS. See Acquired immunodeficiency syndrome Anatomy, eyelid, 155 156 Aneurysm, cerebral, Muller s
More informationCondition: Lid Swelling
Condition: Lid Swelling Description Eyelid swelling (oedema) is a non-specific feature of a number of ocular conditions, including orbital and pre-septal cellulitis, thyroid eye disease, ocular allergy,
More informationMaxillofacial and Ocular Injuries
Maxillofacial and Ocular Injuries Objectives At the conclusion of this presentation the participant will be able to: Identify the key anatomical structures of the face and eye and the impact of force on
More informationDry Eyes The mucin layer
Dry Eyes Your doctor thinks you may have dry eyes. The tear film is a complex mixture of water and chemicals that moisturize and protect the eye. The tear film also acts as a focusing surface for the eye.
More informationMRI masterfile Part 5 WM Heme Strokes.ppt 2
Imaging of Orbital Trauma Corneal Abrasion CT scan is preferable to MRI Bone, Rapid, Easy to monitor patient Foreign bodies, air, hemorrhage Fractures Cost Needed for an MRI MRI Globe and intraocular injuries
More informationEYE INJURIES OBJECTIVES COMMON EYE EMERGENCIES 7/19/2017 IMPROVE ASSESSMENT OF EYE INJURIES
EYE INJURIES BRITTA ANDERSON D.O. DMC PRIMARY CARE SPORTS MEDICINE ASSOCIATE TEAM PHYSICIAN DETROIT TIGERS OBJECTIVES IMPROVE ASSESSMENT OF EYE INJURIES UNDERSTAND WHAT IS CONSIDERED AN EMERGENCY DEVELOP
More informationPaper #A The efficacy of a video-based online teaching tool for medical students in oculoplastic surgery
Paper #A-00051 The efficacy of a video-based online teaching tool for medical students in oculoplastic surgery Christina Leung, Hussein Hollands, Vladimir Kratky Purpose: To determine the effectiveness
More informationColour Doppler Imaging of Superior Ophthalmic Vein in Thyroid-Associated Eye Disease
Colour Doppler Imaging of Superior Ophthalmic Vein in Thyroid-Associated Eye Disease Deniz Somer*, Seyhan Bahar Özkan*, Hakan Özdemir, Serhan Atilla, Meltem Fatma Söylev* and Sunay Duman* *Department of
More informationManagement of ipsilateral ptosis with hypotropia
British Journal of Ophthalmology, 1986, 70, 732-736 Management of ipsilateral ptosis with hypotropia L A FICKER, J R 0 COLLIN, AND J P LEE From Moorfields Eye Hospital, London SUMMARY Thirty-one patients
More informationOrbita. Ivan Haefliger, MD, FEBO. Holbeins-PraxisKlinik Basel & School of Medicine, University of Basel, Basel
Orbita Ivan Haefliger, MD, FEBO Holbeins-PraxisKlinik Basel & School of Medicine, University of Basel, Basel Anatomy Anatomy Orbita is a pear-shaped cavity, the stalk of this pear is the optic canal Within
More informationDry Eye and Related Corneal Issues. Outline. Dry Eye Syndrome (DES)
Dry Eye and Related Corneal Issues Brad Graham DVM, MS, DACVO Definitions Evaluation for dry eye Dog Cat Treatment Medication Surgery Future Outline Dry Eye Syndrome (DES) Inadequate production or enhanced
More informationCENTRAL MERSEY LOCAL OPTICAL COMMITTEE
CENTRAL MERSEY LOCAL OPTICAL COMMITTEE OPTOMETRIC REFERRAL GUIDELINES The ocular conditions listed in this document are intended to reflect those that might be encountered in optometric practice and this
More informationmonitored anesthesia care (MAC)
Entropion Entropion Entropion is an inward turning of the eyelid and lashes toward the eye, usually caused by relaxation of the eye muscles and tissue due to aging. Entropion usually affects the lower
More informationDry eye syndrome. Lacrimal gland. Tear duct into nose. 1 of 6
Dry eye syndrome The aim of this information sheet is to answer any questions you may have about dry eye syndrome. If you have any further questions or concerns, please ask a doctor or nurse caring for
More informationVision Health: Conditions, Disorders & Treatments EYELID DISORDERS
Vision Health: Conditions, Disorders & Treatments EYELID DISORDERS There are a number of disorders that can affect the eyelid. Entropion Entropion is an inward turning of the eyelid and lashes toward the
More informationGraves Disease. What is Graves disease?
Graves Disease What is Graves disease? The thyroid gland s production of thyroid hormones (T 3 and T 4 ) is triggered by thyroidstimulating hormone (TSH), which is made by the pituitary gland. Graves disease,
More informationISPUB.COM MULTIDISCIPLINARY AND MULTIDIMENTIONAL APPROACH TO LACRIMAL TUMOUR EXCISION. A Mosuro, C Bekibele, T Oluleye, J Arotiba, A Olusanya
ISPUB.COM The Internet Journal of Ophthalmology and Visual Science Volume 8 Number 1 MULTIDISCIPLINARY AND MULTIDIMENTIONAL APPROACH TO LACRIMAL TUMOUR EXCISION A Mosuro, C Bekibele, T Oluleye, J Arotiba,
More informationResults of Transmedial-Canthal Ethmoidal Decompression for Severe Dysthyroid Optic Neuropathy
Results of Transmedial-Canthal Ethmoidal Decompression for Severe Dysthyroid Optic Neuropathy Kenji Ohtsuka and Yasushi Nakamura Department of Ophthalmology, Sapporo Medical University School of Medicine,
More informationUvA-DARE (Digital Academic Repository) Volumetric measurements in Graves orbitopathy Regensburg, N.I. Link to publication
UvA-DARE (Digital Academic Repository) Volumetric measurements in Graves orbitopathy Regensburg, N.I. Link to publication Citation for published version (APA): Regensburg, N. I. (2010). Volumetric measurements
More information2/5/2018. Trauma. Subdivided into two main categories: Closed globe Open Globe
1 2 3 4 5 Ocular Trauma Guide for Eye Care Office Staff Winter Thaw 2018 Aaron Yatskevich OD Definition A broad term used to describe a physical or chemical wound to the eye or eye socket. Ocular trauma
More informationPERIORBITAL SWELLING - COMPLICATION FROM ADJACENT STRUCTURES CASE REPORTS AND REVIEW OF LITERATURE
VOLUME 26, NO. 3 JUNE 1985 PERIORBITAL SWELLING - COMPLICATION FROM ADJACENT STRUCTURES CASE REPORTS AND REVIEW OF LITERATURE K Sukumaran S Chandran N Janakarajah P K Garg Department of Ophthalmology Faculty
More informationCase Report Paediatric Orbital Fractures: The Importance of Regular Thorough Eye Assessment and Appropriate Referral
Case Reports in Emergency Medicine Volume 2013, Article ID 376564, 4 pages http://dx.doi.org/10.1155/2013/376564 Case Report Paediatric Orbital Fractures: The Importance of Regular Thorough Eye Assessment
More informationEYE CARE PROTOCOL FOR PATIENTS IN ITU
EYE CARE PROTOCOL FOR PATIENTS IN ITU Back to contents Developed by SUE LIGHTMAN PROFESSOR OF CLINICAL OPHTHALMOLOGY/CONSULTANT OPHTHALMOLOGIST MOORFIELDS EYE HOSPITAL Amended for UCLU ICU by Caroline
More informationLearning Objectives. Disclosures 2/2/ BMT Pharmacists Conference Bandage Contact Lens Therapy for Severe Ocular GVHD
2015 BMT Pharmacists Conference Bandage Contact Lens Therapy for Severe Ocular GVHD Tueng T. Shen, M.D., Ph.D. Professor of Ophthalmology Adjunct, Bioengineering and Global Health Feb. 13 th, 2015 Learning
More informationTHE PROTECTIVE SYSTEM OF THE EYE
THE PROTECTIVE SYSTEM OF THE EYE Introduction The eye is offered the same type of protection as the brain being enclosed in a cavity in the skull called the bony orbit (figs1, 2). Fig 1: the bony orbit.
More informationPtosis (drooping) of the upper eyelid (1) What is Ptosis? Ptosis describes a drooping of one or both upper eyelids. (2) What are the causes of ptosis?
Ptosis (drooping) of the upper eyelid (1) What is Ptosis? Ptosis describes a drooping of one or both upper eyelids. (2) What are the causes of ptosis? Ptosis may be present at birth (congenital ptosis)
More informationCataract. What is a Cataract?
Cataract What is a Cataract? We all have a lens in our eye. This is positioned just behind the iris, which is the coloured ring in the eye that gives your eye its colour. The lens function is to focus
More informationThyroid Disease and Thyroid Eye Disease
Disclosures Disclosure Statement (next slide) Thyroid Dysfunction and the Eye Greg Caldwell OD, FAAO The Denver Metro Optometric Society Russell Pavilion at St. Joseph Hospital Denver, CO January 25, 2014
More informationEUGOGO FOLLOW-UP assessment
EUGOGO FOLLOW-UP assessment Please complete non-italicized boxes except where indicated, plus relevant italicized ones. F1. Date follow-up (dd mm yyyy) Visit # Year of birth ( yyyy ) Randomization code
More informationPATIENT INFORMATION LEAFLET. PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM LUMIGAN 0,01 %, bimatoprost 0,1 mg/ml eye drops
Page 1 of 6 SCHEDULING STATUS Schedule 4 PATIENT INFORMATION LEAFLET PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM LUMIGAN 0,01 %, bimatoprost 0,1 mg/ml eye drops Read all of this leaflet carefully
More informationAround The Globe in 60 Minutes
Around The Globe in 60 Minutes Around the GLOBE in Sixty Minutes Basic Ocular Anatomy, Examination, and Diagnostic Techniques Introduction Focusing on canine and feline ocular anatomy and basic examination
More informationEUGOGO INITIAL ASSESSMENT
EUGOGO INITIAL ASSESSMENT Please complete non-italicised boxes except where indicated, plus relevant italicised ones. 1. Date of inclusion Year of birth Sex male female dd mm yyyy Race Caucasian Black
More informationSepideh Tara Rousta, MD FAAO Robert Wood Johnson University Hospital Saint Peter s University Hospital Wills Eye Hospital
Sepideh Tara Rousta, MD FAAO Robert Wood Johnson University Hospital Saint Peter s University Hospital Wills Eye Hospital 14 mo old w R eye cross (parents) 9 mo old R eye crossing getting worse for past
More informationOcular and Periocular Trauma. Tina Rutar, MD. Assistant Professor of Ophthalmology and Pediatrics. Director, Visual Center for the Child
Ocular and Periocular Trauma Tina Rutar, MD Assistant Professor of Ophthalmology and Pediatrics Director, Visual Center for the Child University of California, San Francisco Phone: 415-353-2560 Fax: 415-353-2468
More informationExpanding Role of Orbital Decompression in Aesthetic Surgery
Oculoplastic Surgery Preliminary Report Expanding Role of Orbital Decompression in Aesthetic Surgery Aesthetic Surgery Journal 2017, 1 7 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints
More informationOphthalmology. Corneal Abrasion. History
Ophthalmology Corneal Abrasion - Usually clear history of very recent trauma - Foreign Body Sensation - Pain +++ - Lacrimation - Photophobia Fig. 1 Corneal Abrasion - Abrasion stains yellow / green with
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 4,100 116,000 120M Open access books available International authors and editors Downloads Our
More informationOcular side effects of biologic cancer therapy. Miss Stella Hornby Oxford Eye Hospital
Ocular side effects of biologic cancer therapy Miss Stella Hornby Oxford Eye Hospital Overview Ocular toxicity from anti-cancer therapy Not uncommon but underestimated and underreported Vision related
More informationRED EYE, RED EYE What do YOU See???
RED EYE, RED EYE What do YOU See??? The role of the front office and optometric assistant in the detection and treatment of RED EYES Front office staff and assistants are THE first ones to begin the RED
More informationAssessment of Quality of Life and Depression in Korean Patients with Graves Ophthalmopathy
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2010;24(2):65-72 DOI: 10.3341/kjo.2010.24.2.65 Assessment of Quality of Life and Depression in Korean Patients with Graves Ophthalmopathy Original
More informationOcular allergy pathogenesis and diagnosis
Ocular allergy pathogenesis and diagnosis Luís Delgado, MD PhD departament of Immunology and Immunoallergology Unit Hospital de S. Joao. Porto (Portugal) Marzo 2006 www.alergomurcia.com Good morning, Mr.
More informationAdvances in Orbital Oncology and Oculofacial Plastic Surgery PROGRAM AGENDA
Advances in Orbital Oncology and Oculofacial Plastic Surgery Friday, January 25, 2019 PROGRAM AGENDA 7:00 am Registration/Continental Breakfast 8:00 Welcome and Opening Remarks Bita Esmaeli, MD Eyelid,
More informationA Case of Carotid-Cavernous Fistula
A Case of Carotid-Cavernous Fistula By : Mohamed Elkhawaga 2 nd Year Resident of Ophthalmology Alexandria University A 19 year old male patient came to our outpatient clinic, complaining of : -Severe conjunctival
More informationCT of Maxillofacial Fracture Patterns. CT of Maxillofacial Fracture Patterns
CT of Maxillofacial Fracture Patterns CT of Maxillofacial Fracture Patterns Stuart E. Mirvis, M.D., FACR Department of Radiology University of Maryland School of Medicine Viking 1 1976 MGS 2001 Technology
More informationTable of Contents 1 Orbit 3 2 Eyelids 7
Table of Contents Preface, x List of abbreviations xi Glossary xii Section I Atlas 1 1 Orbit 3 Clinical signs associated with orbital neoplasia 3 Clinical signs associated with orbital cellulitis 3 Enophthalmos
More informationPatient information factsheet. Ptosis. What is ptosis?
Patient information factsheet Ptosis What is ptosis? Ptosis (pronounced toe sys) is a droopy upper eyelid. The upper lid is lifted up by the levator muscle, which is attached to the lid by a tendon called
More informationClinical Study Assessment of Visual Acuity, Refraction Changes, and Proptosis in Different Ages of Patients with Thyroid Diseases
International Endocrinology Volume 2012, Article ID 643275, 4 pages doi:10.1155/2012/643275 Clinical Study Assessment of Visual Acuity, Refraction Changes, and Proptosis in Different Ages of Patients with
More information