RT Book, Section
A1 Lueder, Gregg T.
SR Print(0)
ID 56150414
T1 Chapter 15. Bulging Eyeball
T2 Pediatric Practice: Ophthalmology
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071633802
LK accesspediatrics.mhmedical.com/content.aspx?aid=56150414
RD 2024/04/19
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