Exophthalmos Differential Diagnoses

  • Author: Michael Mercandetti, MD, MBA, FACS; Chief Editor: Hampton Roy Sr, MD   more...
 
Updated: May 24, 2012
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Michael Mercandetti, MD, MBA, FACS  Consulting Staff, Department of Surgery, Doctors Hospital of Sarasota

Michael Mercandetti, MD, MBA, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Ophthalmology, American College of Surgeons, American Society for Laser Medicine and Surgery, American Society of Ophthalmic Plastic and Reconstructive Surgery, Association of Military Surgeons of the US, and Sarasota County Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

Adam J Cohen, MD  Eyelid and Facial Aesthetic and Reconstructive Surgery, Diseases and Surgery of the Orbit and Lacrimal System, Cosmetic Laser Surgery

Adam J Cohen, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and American Society of Ophthalmic Plastic and Reconstructive Surgery

Disclosure: Nothing to disclose.

Specialty Editor Board

Brian A Phillpotts, MD  Former Vitreo-Retinal Service Director, Former Program Director, Clinical Assistant Professor, Department of Ophthalmology, Howard University College of Medicine

Brian A Phillpotts, MD is a member of the following medical societies: American Academy of Ophthalmology, American Diabetes Association, American Medical Association, and National Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

J James Rowsey, MD  Former Director of Corneal Services, St Luke's Cataract and Laser Institute

J James Rowsey, MD is a member of the following medical societies: American Academy of Ophthalmology, American Association for the Advancement of Science, American Medical Association, Association for Research in Vision and Ophthalmology, Florida Medical Association, Pan-American Association of Ophthalmology, Sigma Xi, and Southern Medical Association

Disclosure: Nothing to disclose.

Lance L Brown, OD, MD  Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD  Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

References

  1. Epstein O, Perkin D, Cookson J, deBono DP. Clinical Examination. 3rd ed. Mosby; 2003.

  2. Henderson JW. Orbital Tumors. 3rd ed. New York: Raven Press; 1994.

  3. Nunery WR. Ophthalmic Graves' disease: a dual theory of pathogenesis. Oph Clin N Amer. 1991;4.

  4. Migliori ME, Gladstone GJ. Determination of the normal range of exophthalmometric values for black and white adults. Am J Ophthalmol. Oct 15 1984;98(4):438-42. [Medline].

  5. Dunsky IL. Normative data for hertel exophthalmometry in a normal adult black population. Optom Vis Sci. Jul 1992;69(7):562-4. [Medline].

  6. Bolaños Gil de Montes F, Pérez Resinas FM, Rodríguez García M, González Ortiz M. Exophthalmometry in Mexican adults. Rev Invest Clin. Nov-Dec 1999;51(6):341-3. [Medline].

  7. Kashkouli MB, Nojomi M, Parvaresh MM, Sanjari MS, Modarres M, Noorani MM. Normal values of hertel exophthalmometry in children, teenagers, and adults from Tehran, Iran. Optom Vis Sci. Oct 2008;85(10):1012-7. [Medline].

  8. Tsai CC, Kau HC, Kao SC, Hsu WM. Exophthalmos of patients with Graves' disease in Chinese of Taiwan. Eye (Lond). May 2006;20(5):569-73. [Medline].

  9. Preechawai P. Anthropometry of eyelid and orbit in four southern Thailand ethnic groups. J Med Assoc Thai. Feb 2011;94(2):193-9. [Medline].

  10. Ahmadi H, Shams PN, Davies NP, Joshi N, Kelly MH. Age-related changes in the normal sagittal relationship between globe and orbit. J Plast Reconstr Aesthet Surg. 2007;60(3):246-50. [Medline].

  11. Dijkstal JM, Bothun ED, Harrison AR, Lee MS. Normal exophthalmometry measurements in a United States pediatric population. Ophthal Plast Reconstr Surg. Jan 2012;28(1):54-6. [Medline].

  12. Zhang M, Hong R, Fu Z, Ye M, Yang H. [The measurement of normal values of exophthalmos, interpupillary distance and interorbital distance of children and adolescence in Xiamen and the rule of their development]. Zhonghua Yan Ke Za Zhi. Nov 2000;36(6):462-6. [Medline].

  13. Apaydin M, Calli C, Gunay Yardim B, Sarsilmaz A, Varer M, Uluc E. A rare cause of exophthalmos: cemento-ossifying fibroma. Kulak Burun Bogaz Ihtis Derg. May-Jun 2008;18(3):185-7. [Medline].

  14. Bastion ML, Wong YC. A case of sneezing-related orbital emphysema treated by aspiration-decompression in the office. Ophthal Plast Reconstr Surg. Nov-Dec 2006;22(6):500-1. [Medline].

  15. Burde RM, Savino PJ, Trobe JD. Proptosis and adnexal masses. In: Clinical Decisions in Neuro-ophthalmology. 2nd ed. St. Louis: Mosby; 1992:379-416.

  16. Christiansen E, Kofoed-Enevoldsen A. Graves' ophthalmopathy. J Clin Endocrinol Metab. May 2001;86(5):2327-8. [Medline].

  17. Cohen AJ, Mercandetti M, Weinberg DA. Cavernous hemangioma. eMedicine Journal [serial online]. May 13, 2009;Available at http://emedicine.medscape.com/article/1218120-overview.

  18. Devi B, Bhat D, Madhusudhan H, Santhosh V, Shankar S. Primary intraosseous meningioma of orbit and anterior cranial fossa: a case report and literature review. Australas Radiol. May 2001;45(2):211-4. [Medline].

  19. Good KS, Bloch RB. Proptosis of left eye: frontoethmoid mucocele. Ann Emerg Med. Oct 2008;52(4):337, 343. [Medline].

  20. Lin LK, Andreoli CM, Hatton MP, Rubin PA. Recognizing the protruding eye. Orbit. 2008;27(5):350-5. [Medline].

  21. Mercandetti M, Cohen AJ. Tumors, orbital. eMedicine Journal [serial online]. February 25, 2010;Available at http://emedicine.medscape.com/article/1218892-overview.

  22. Nunery WR, Martin RT, Heinz GW, Gavin TJ. The association of cigarette smoking with clinical subtypes of ophthalmic Graves' disease. Ophthal Plast Reconstr Surg. Jun 1993;9(2):77-82. [Medline].

  23. Philips PH. The orbit. Oph Clin N Amer. 2001;14:109-27.

  24. Piest K. Exophthalmos. In: Decision Making in Ophthalmology. 2nd ed. St. Louis: Mosby; 2000:132-3.

  25. Spence CA, Duong DH, Monsein L, Dennis MW. Ophthalmoplegia resulting from an intraorbital hematoma. Surg Neurol. Dec 2000;54(6):447-51. [Medline].

  26. Vardizer Y, Berendschot TT, Mourits MP. Effect of exophthalmometer design on its accuracy. Ophthal Plast Reconstr Surg. Nov 2005;21(6):427-30. [Medline].

 
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