TY - CHAP M1 - Book, Section TI - Chapter 15. Bulging Eyeball A1 - Lueder, Gregg T. Y1 - 2011 N1 - T2 - Pediatric Practice: Ophthalmology AB - Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My child’s eye is bulging.”Common CausesOrbital tumorsOrbital cellulitisOrbital lymphangiomaOrbital pseudotumorInfantile glaucomaOther CausesHigh myopiaCraniofacial malformationsThyroid opthalmopathyCapillary hemangiomaKEY FINDINGSHistoryDiplopia may occur with any of these lesionsDecreased vision more common with rapidly growing lesionsOrbital tumorsRhabdomyosarcoma—rapid painless proptosisOptic nerve glioma—may present rapidlyMore common in patients with neurofibromatosisOther tumors—gradual proptosisOrbital cellulitisPain, fever, systemic illnessRapid onsetHistory of sinus diseaseLymphangiomaRapid-onset proptosis if acute bleedingOrbital pseudotumorPain, worse with eye movementOften systemic symptoms (fever, malaise)Infantile glaucomaExcess tearingLight sensitivity (photophobia)ExaminationAll lesions with proptosis may have limited eye movements, decreased vision, and conjunctival swellingOrbital tumorOften nontender proptosisOrbital cellulitisPeriocular erythema and edemaAbnormal pupil reactionsLymphangiomaUsually subtle proptosis unless acute hemorrhageAcute hemorrhage may produce marked proptosis and swellingOrbital pseudotumorPain with eye movementInflammation over extraocular musclesInfantile glaucomaCornea enlarged, may be cloudyOverflow tearing SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=56150414 ER -