Orbital Disease in Neuro-Ophthalmology

K. Shindler

Published 2019 in Liu, Volpe, and Galetta's Neuro-Ophthalmology

ABSTRACT

Abstract Orbital disorders usually manifest with a unifying constellation of symptoms and signs that include proptosis, periocular swelling, blurred vision, and double vision. The presence of proptosis distinguishes diseases of the orbit from other neuro-ophthalmic conditions with similar symptomatology. In this chapter, relevant orbital anatomy and typical signs and symptoms encountered in orbital disease are put into clinical context; the advantages and disadvantages of various orbital imaging techniques are critically examined; and the orbital entities frequently encountered in neuro-ophthalmic practice are analyzed, including thyroid-associated ophthalmopathy, orbital inflammatory disorders, orbital tumors, and the sequelae of orbital infections and trauma. The pathogenesis, evaluation, and treatment of each orbital disorder are reviewed with particular emphasis on those conditions that can be vision- or life-threatening.

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