The most common orbital case
and indeed in the fellowship examination is thyroid eye disease. Learn
to use Hertel's exophthalmometer well without making it look threatening
to the patient ie. make sure the edges of the meter are wide apart as you
rest them on the orbital rims. Also remember to check if the proptosis
is axial or non-axial. Non-axial proptosis may imply space occupying lesion
outside the muscle cone.Apart from measuring the amount of proptosis, do
not forget to test the ocular motility and the optic nerve function.
Most common case by miles
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thyroid eye disease
Uncommon cases
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carotico-cavernous fistula
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cavernous haemangioma
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Courzon's disease
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post-enucleation syndrome
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