What is the shape of the bony cavity of the orbit?
Pear-shaped.
What is a common type of traumatic orbital disorder?
Left orbital floor fracture.
1/138
p.2
Anatomy of the Orbit

What is the shape of the bony cavity of the orbit?

Pear-shaped.

p.22
Traumatic Orbital Disorders

What is a common type of traumatic orbital disorder?

Left orbital floor fracture.

p.7
Disorders of the Orbit

What is proptosis?

Proptosis is the abnormal protrusion or displacement of the eye.

p.9
Traumatic Orbital Disorders

What are some examples of traumatic orbital disorders?

Blow-out fracture, haemorrhage, emphysema.

p.22
Traumatic Orbital Disorders

What are common symptoms of a left orbital floor fracture?

Symptoms may include pain, swelling, bruising around the eye, double vision, and restricted eye movement.

p.29
Neoplastic Conditions of the Orbit

What is a common benign neoplastic condition of the orbit?

Cavernous haemangioma.

p.7
Disorders of the Orbit

What is optic atrophy?

Optic atrophy is the damage or degeneration of the optic nerve, leading to vision loss.

p.29
Neoplastic Conditions of the Orbit

What percentage of epithelial tumors in the lacrimal gland are malignant?

50%.

p.3
Anatomy of the Orbit

Which artery passes through the optic canal?

The ophthalmic artery.

p.30
Neoplastic Conditions of the Orbit

How is rhabdomyosarcoma typically diagnosed?

Diagnosis typically involves imaging studies such as MRI or CT scans, followed by a biopsy to confirm the presence of cancerous cells.

p.17
Work-Up for Proptosis

What is a Hertel Exophthalmometer used for?

It is used to measure the degree of forward displacement (proptosis) of the eye.

p.22
Traumatic Orbital Disorders

What part of the orbit is affected in a left orbital floor fracture?

The floor of the left orbit.

p.28
Inflammatory Orbital Disorders

Which age group is most commonly affected by orbital pseudotumor?

Middle-aged persons.

p.32
Traumatic Orbital Disorders

What is enucleation in the context of eye removal?

Enucleation is the removal of the entire eyeball, leaving the eye muscles and remaining orbital contents intact.

p.5
Anatomy of the Orbit

What is the fossa for the lacrimal gland?

A depression in the orbit that houses the lacrimal gland.

p.26
Disorders of the Orbit

What are the primary causes of cavernous sinus thrombosis?

It is often caused by infections in the face or skull, such as sinusitis or dental infections.

p.5
Anatomy of the Orbit

Why is the orbital floor considered weak?

Because it is prone to fractures from trauma.

p.23
Traumatic Orbital Disorders

How is an orbit floor fracture diagnosed?

Diagnosis is typically made through clinical examination and imaging studies such as CT scans or X-rays.

p.25
Inflammatory Orbital Disorders

What are common causes of orbital cellulitis?

Common causes include bacterial infections, often originating from sinusitis, trauma, or surgery.

p.15
Work-Up for Proptosis

What should be assessed about the eye movements during the work-up for proptosis?

Whether the movements are normal.

p.3
Anatomy of the Orbit

What type of nerve fibers pass through the optic canal?

Sympathetic nerve fibers.

p.8
Etiological Classification of Orbital Disorders

What are the main etiological classifications of orbital disorders?

Traumatic, Inflammatory, Neoplasms, Cysts, Metabolic, Vascular.

p.31
Neoplastic Conditions of the Orbit

At what age is retinoblastoma most commonly diagnosed?

In early childhood.

p.27
Inflammatory Orbital Disorders

What are the characteristics of Cavernous Sinus Thrombosis?

Bilateral, vision impaired, reflexes impaired or absent, papilloedema present, involvement of cranial nerves III, IV, V1, and VI.

p.17
Work-Up for Proptosis

Why is the Hertel Exophthalmometer important in diagnosing orbital disorders?

It helps quantify the extent of proptosis, which is crucial for diagnosing and monitoring conditions affecting the orbit.

p.7
Disorders of the Orbit

What symptom of orbital disorders can affect the movement of the eyes?

Impaired eye movements.

p.25
Inflammatory Orbital Disorders

What is orbital cellulitis?

Orbital cellulitis is an infection of the tissues located behind the orbital septum, including the fat and muscles within the orbit.

p.3
Anatomy of the Orbit

Where is the optic canal located in the orbit?

At the apex of the orbit.

p.9
Neoplastic Conditions of the Orbit

What are the types of neoplasms that can affect the orbit?

Benign and malignant neoplasms.

p.21
Traumatic Orbital Disorders

What nasal symptom might be present with blowout fractures?

Ipsilateral nosebleed.

p.28
Inflammatory Orbital Disorders

What are the treatment options for orbital pseudotumor?

Systemic corticosteroids or radiation.

p.29
Neoplastic Conditions of the Orbit

What types of tumors can affect the lacrimal gland?

Epithelial tumors, lympho-proliferative tumors, and inflammatory tumors.

p.25
Inflammatory Orbital Disorders

How is orbital cellulitis typically diagnosed?

Orbital cellulitis is typically diagnosed through clinical examination, imaging studies like CT or MRI, and sometimes blood tests or cultures.

p.30
Neoplastic Conditions of the Orbit

What are the treatment options for rhabdomyosarcoma?

Treatment options often include a combination of surgery, chemotherapy, and radiation therapy.

p.29
Neoplastic Conditions of the Orbit

What parasitic cyst can affect the orbit?

Echinococcus granulosus.

p.3
Anatomy of the Orbit

Which nerve is also known as NIV?

The trochlear nerve.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders involves blood vessels?

Vascular.

p.28
Inflammatory Orbital Disorders

What is an orbital pseudotumor?

An inflammatory, tumor-like lesion of unknown cause.

p.32
Traumatic Orbital Disorders

What are the three main types of eye removal procedures?

Evisceration, Enucleation, and Exenteration.

p.22
Traumatic Orbital Disorders

What is a potential cause of a left orbital floor fracture?

Trauma to the left side of the face or orbit.

p.26
Disorders of the Orbit

What is cavernous sinus thrombosis?

A rare but serious condition where a blood clot forms in the cavernous sinus, a large vein at the base of the brain.

p.7
Disorders of the Orbit

What is papilloedema?

Papilloedema is the swelling of the optic disc due to increased intracranial pressure.

p.22
Special Investigations in Orbital Disorders

What imaging technique is often used to diagnose a left orbital floor fracture?

CT scan of the orbit.

p.18
Special Investigations in Orbital Disorders

Why is a thyroid function test important in the work-up for orbital disorders?

To check for thyroid-related conditions that may affect the orbit.

p.30
Neoplastic Conditions of the Orbit

Which age group is most commonly affected by rhabdomyosarcoma?

Rhabdomyosarcoma most commonly affects children and adolescents.

p.3
Anatomy of the Orbit

Which nerve is also known as NIII?

The oculomotor nerve.

p.3
Anatomy of the Orbit

Which division of the trigeminal nerve passes through the superior orbital fissure?

The ophthalmic division.

p.33
Metabolic Conditions Affecting the Orbit

Which gland's dysfunction is associated with Thyroid Eye Disease?

The thyroid gland.

p.33
Metabolic Conditions Affecting the Orbit

What are common symptoms of Thyroid Eye Disease?

Common symptoms include bulging eyes (proptosis), double vision, eye pain, redness, and swelling.

p.17
Work-Up for Proptosis

How does a Hertel Exophthalmometer measure proptosis?

It measures the distance between the lateral orbital rim and the anterior corneal surface.

p.18
Special Investigations in Orbital Disorders

What does ESR stand for and why is it important in orbital disorder investigations?

Erythrocyte Sedimentation Rate; it helps detect inflammation.

p.25
Inflammatory Orbital Disorders

What are common symptoms of orbital cellulitis?

Common symptoms include pain, swelling, redness around the eye, fever, and impaired eye movement.

p.29
Neoplastic Conditions of the Orbit

What type of neoplastic condition is associated with nerve tissue in the orbit?

Neurofibromata.

p.18
Special Investigations in Orbital Disorders

What is the purpose of an X-ray orbit in the investigation of orbital disorders?

To visualize the bony structures of the orbit.

p.9
Metabolic Conditions Affecting the Orbit

What is an example of a metabolic condition affecting the orbit?

Thyroid ophthalmopathy.

p.16
Work-Up for Proptosis

What condition related to the thyroid should be assessed during a proptosis examination?

Thyroid ophthalmopathy.

p.24
Inflammatory Orbital Disorders

What is an Orbital Pseudotumor?

An Orbital Pseudotumor is an inflammatory condition that mimics a tumor but is not cancerous.

p.17
Work-Up for Proptosis

What anatomical landmarks are used with a Hertel Exophthalmometer?

The lateral orbital rim and the anterior corneal surface.

p.15
Work-Up for Proptosis

What is the first step in the work-up for proptosis?

Complete examination.

p.21
Traumatic Orbital Disorders

What is a common visual symptom of blowout fractures?

Diplopia (double vision).

p.32
Traumatic Orbital Disorders

What does evisceration involve in the context of eye removal?

Evisceration involves the removal of the eye's contents, leaving the scleral shell and extraocular muscles intact.

p.23
Traumatic Orbital Disorders

What is an orbit floor fracture?

An orbit floor fracture is a break in the bone forming the floor of the eye socket.

p.5
Anatomy of the Orbit

What structures surround the orbit?

The cranial cavity, temporal fossa laterally, and paranasal sinuses inferiorly and medially.

p.23
Traumatic Orbital Disorders

What are common causes of orbit floor fractures?

Common causes include blunt trauma to the face, such as from sports injuries, car accidents, or physical assaults.

p.18
Special Investigations in Orbital Disorders

How does a CT scan assist in the diagnosis of orbital disorders?

It provides detailed images of the orbit, including bones and soft tissues.

p.16
Work-Up for Proptosis

What should be checked during a complete examination for proptosis?

Pupils, cranial nerve involvement, thyroid ophthalmopathy, glands, thyroid mass or bruit, and measure proptosis.

p.26
Disorders of the Orbit

What are potential complications of untreated cavernous sinus thrombosis?

Complications can include permanent vision loss, stroke, and spread of infection to the brain.

p.16
Work-Up for Proptosis

What thyroid-related signs should be checked during a proptosis examination?

Look for thyroid mass or bruit.

p.2
Anatomy of the Orbit

What are the four main parts of the orbit's bony cavity?

Floor, roof, medial wall, and lateral wall.

p.9
Inflammatory Orbital Disorders

What are some inflammatory orbital disorders?

Cellulitis, cavernous sinus thrombosis, pseudo tumor, abscess, pan-ophthalmitis, inflammation of lacrimal gland.

p.28
Inflammatory Orbital Disorders

Is the proptosis caused by orbital pseudotumor usually unilateral or bilateral?

Unilateral.

p.15
Work-Up for Proptosis

What should be checked regarding the eyeball during the work-up for proptosis?

Pulsation of the eyeball.

p.26
Disorders of the Orbit

How is cavernous sinus thrombosis diagnosed?

Diagnosis typically involves imaging studies like MRI or CT scans, along with blood tests to identify infection.

p.5
Anatomy of the Orbit

What does the lamina papyracea separate?

The orbit and the ethmoid sinus.

p.23
Traumatic Orbital Disorders

What are potential complications of an untreated orbit floor fracture?

Potential complications include persistent double vision, enophthalmos (sunken eye), and impaired eye movement.

p.14
Work-Up for Proptosis

What does painful proptosis indicate?

Painful proptosis may suggest an inflammatory or infectious cause.

p.16
Work-Up for Proptosis

What is one of the key aspects to examine in the pupils during a work-up for proptosis?

Check if the pupils are normal.

p.31
Neoplastic Conditions of the Orbit

Which part of the eye is affected by retinoblastoma?

The retina.

p.31
Neoplastic Conditions of the Orbit

Is retinoblastoma typically unilateral or bilateral?

Retinoblastoma can be either unilateral (affecting one eye) or bilateral (affecting both eyes).

p.33
Metabolic Conditions Affecting the Orbit

How does Thyroid Eye Disease affect the eyes?

It causes inflammation and swelling of the eye muscles and fatty tissue behind the eye, leading to symptoms like bulging eyes and double vision.

p.27
Inflammatory Orbital Disorders

What are the characteristics of Orbital Cellulitis?

Unilateral, vision normal, pupillary reflex normal, no papilloedema, impaired eye movements due to swelling.

p.7
Disorders of the Orbit

What is a common symptom of orbital disorders that affects vision?

Impaired visual acuity.

p.21
Traumatic Orbital Disorders

What type of eye movement issues can occur with blowout fractures?

Defective eye movements.

p.25
Inflammatory Orbital Disorders

What are potential complications of untreated orbital cellulitis?

Potential complications include vision loss, abscess formation, and spread of infection to the brain or other parts of the body.

p.14
Work-Up for Proptosis

Why is it important to know how long the proptosis has been present?

The duration can help determine the underlying cause and urgency of the condition.

p.23
Traumatic Orbital Disorders

What treatment options are available for orbit floor fractures?

Treatment options may include observation for minor fractures, surgical repair for more severe cases, and management of symptoms such as pain and swelling.

p.14
Work-Up for Proptosis

Why should changes in proptosis with position be noted?

Changes with position can indicate vascular or orbital mass-related causes.

p.16
Work-Up for Proptosis

Why is it important to check for cranial nerve involvement during a proptosis examination?

To identify any neurological deficits that may be contributing to or resulting from the proptosis.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders involves immune responses?

Inflammatory.

p.16
Work-Up for Proptosis

What gland-related aspects should be examined during a proptosis work-up?

Check the glands for any abnormalities.

p.3
Anatomy of the Orbit

Which nerve is also known as NVI?

The abducens nerve.

p.16
Work-Up for Proptosis

What measurement is crucial in the examination of proptosis?

Measure the degree of proptosis.

p.31
Neoplastic Conditions of the Orbit

How is retinoblastoma typically diagnosed?

Retinoblastoma is typically diagnosed through a combination of eye examinations, imaging tests such as ultrasound or MRI, and genetic testing.

p.33
Metabolic Conditions Affecting the Orbit

Can Thyroid Eye Disease occur without thyroid dysfunction?

It is rare, but Thyroid Eye Disease can occur in individuals with normal thyroid function, though it is most commonly associated with hyperthyroidism or Graves' disease.

p.24
Inflammatory Orbital Disorders

What is inflammation of the lacrimal gland?

Inflammation of the lacrimal gland, also known as dacryoadenitis, is the swelling of the gland that produces tears.

p.21
Traumatic Orbital Disorders

What typically causes blowout fractures?

A large object like a football causing damage to the orbital rim.

p.21
Traumatic Orbital Disorders

What is enophthalmos and how is it related to blowout fractures?

Enophthalmos is the posterior displacement of the eye within the orbit, and it can occur as a result of blowout fractures.

p.28
Inflammatory Orbital Disorders

Is proptosis caused by orbital pseudotumor typically painful or painless?

Painful.

p.15
Work-Up for Proptosis

What aspect of the eyeball's position is assessed during the work-up for proptosis?

Position of the eyeball.

p.14
Work-Up for Proptosis

What is the first step in the work-up of a case with proptosis?

Complete history.

p.23
Traumatic Orbital Disorders

What symptoms might indicate an orbit floor fracture?

Symptoms can include double vision, sunken eye appearance, swelling, bruising around the eye, and difficulty moving the eye.

p.9
Neoplastic Conditions of the Orbit

What are some examples of cysts that can affect the orbit?

Dermoid cyst, parasitic cyst, sinus mucocoele.

p.9
Metabolic Conditions Affecting the Orbit

What are some vascular conditions that can affect the orbit?

Orbital varix, aneurism, haemorrhage, carotid artery cavernous sinus fistula.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders includes tumors?

Neoplasms.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders is related to chemical processes in the body?

Metabolic.

p.31
Neoplastic Conditions of the Orbit

What are the treatment options for retinoblastoma?

Treatment options may include chemotherapy, radiation therapy, laser therapy, cryotherapy, and surgery.

p.24
Inflammatory Orbital Disorders

What is cellulitis in the context of inflammatory orbital disorders?

Cellulitis is an infection of the soft tissues around the eye, leading to inflammation.

p.18
Special Investigations in Orbital Disorders

What does FBC stand for in the context of orbital disorder investigations?

Full Blood Count.

p.26
Disorders of the Orbit

What are common symptoms of cavernous sinus thrombosis?

Symptoms include severe headache, eye swelling, vision problems, and cranial nerve dysfunction.

p.15
Work-Up for Proptosis

What should be examined about the eyelids during the work-up for proptosis?

Whether the lids are normal.

p.21
Traumatic Orbital Disorders

What sensory deficit might occur with blowout fractures?

Diminished sensation over the distribution of the infraorbital nerve.

p.29
Neoplastic Conditions of the Orbit

What is a common type of cyst found in the orbit?

Dermoid cysts.

p.3
Anatomy of the Orbit

Which structure in the orbit contains the oculomotor nerve (NIII)?

The superior orbital fissure.

p.14
Work-Up for Proptosis

What additional symptoms should be assessed in a patient with proptosis?

Color vision, impaired vision, diplopia, and eyelid retraction.

p.28
Inflammatory Orbital Disorders

What is a common symptom of orbital pseudotumor?

Rapid onset proptosis.

p.15
Work-Up for Proptosis

What should be determined to differentiate true proptosis from pseudoproptosis?

True or pseudoproptosis.

p.30
Neoplastic Conditions of the Orbit

What is rhabdomyosarcoma?

Rhabdomyosarcoma is a type of cancer that forms in soft tissue, specifically skeletal muscle tissue or sometimes in hollow organs such as the bladder or uterus.

p.32
Traumatic Orbital Disorders

What does exenteration involve in the context of eye removal?

Exenteration involves the removal of the entire contents of the orbit, including the eyeball, extraocular muscles, and surrounding tissues.

p.3
Anatomy of the Orbit

Which nerve passes through the optic canal?

The optic nerve.

p.14
Work-Up for Proptosis

What specific aspects of history should be considered in a case with proptosis?

Duration, pain, change with position, intermittency, and other symptoms such as color vision, impaired vision, diplopia, and eyelid retraction.

p.30
Neoplastic Conditions of the Orbit

What are common symptoms of rhabdomyosarcoma in the orbit?

Common symptoms include a noticeable mass or swelling, bulging of the eye (proptosis), and sometimes pain or vision changes.

p.26
Disorders of the Orbit

What is the treatment for cavernous sinus thrombosis?

Treatment usually includes antibiotics to treat the underlying infection and anticoagulants to prevent further clotting.

p.18
Special Investigations in Orbital Disorders

Why might an ENT consultation be necessary in the work-up for orbital disorders?

To evaluate any ENT-related issues that could affect the orbit.

p.25
Inflammatory Orbital Disorders

What is the standard treatment for orbital cellulitis?

The standard treatment includes intravenous antibiotics and sometimes surgical drainage if an abscess is present.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders includes injuries?

Traumatic.

p.14
Work-Up for Proptosis

What does intermittent proptosis suggest?

Intermittent proptosis may be associated with vascular lesions or orbital varices.

p.33
Metabolic Conditions Affecting the Orbit

What is Thyroid Eye Disease (TED)?

Thyroid Eye Disease (TED) is an autoimmune condition associated with thyroid dysfunction, affecting the orbit and causing inflammation and swelling of the eye muscles and fatty tissue behind the eye.

p.24
Inflammatory Orbital Disorders

What are some examples of inflammatory orbital disorders?

Cellulitis, Cavernous Sinus Thrombosis, Orbital Pseudotumor, Abscess, Inflammation of the Lacrimal Gland, Panophthalmitis.

p.31
Neoplastic Conditions of the Orbit

What is retinoblastoma?

Retinoblastoma is a rare type of eye cancer that typically develops in early childhood and affects the retina.

p.8
Etiological Classification of Orbital Disorders

Which etiological classification of orbital disorders involves fluid-filled sacs?

Cysts.

p.24
Inflammatory Orbital Disorders

What is panophthalmitis?

Panophthalmitis is a severe, purulent inflammation of all layers of the eye, including intraocular structures.

p.31
Neoplastic Conditions of the Orbit

What are common symptoms of retinoblastoma?

Common symptoms include a white color in the pupil when light is shone in the eye, eye redness, and vision problems.

p.33
Metabolic Conditions Affecting the Orbit

What is the primary cause of Thyroid Eye Disease?

It is primarily caused by an autoimmune reaction where the body's immune system attacks the tissues around the eyes.

p.31
Neoplastic Conditions of the Orbit

Can retinoblastoma be inherited?

Yes, retinoblastoma can be inherited in an autosomal dominant pattern, meaning a mutation in one copy of the RB1 gene can increase the risk of developing the disease.

p.33
Metabolic Conditions Affecting the Orbit

What is the relationship between Graves' disease and Thyroid Eye Disease?

Graves' disease is an autoimmune disorder that often leads to hyperthyroidism and is the most common cause of Thyroid Eye Disease.

p.24
Inflammatory Orbital Disorders

What is Cavernous Sinus Thrombosis?

Cavernous Sinus Thrombosis is a blood clot in the cavernous sinus, a large vein at the base of the brain, often caused by infection.

p.33
Metabolic Conditions Affecting the Orbit

What treatments are available for Thyroid Eye Disease?

Treatments include corticosteroids to reduce inflammation, orbital decompression surgery, and radiation therapy. Managing thyroid levels is also crucial.

p.24
Inflammatory Orbital Disorders

What is an abscess in the context of orbital disorders?

An abscess is a collection of pus that has built up within the tissue of the orbit due to infection.

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Study Smarter, Not Harder