Urgences en pathologie orbitaire non traumatique. [Emergencies in nontraumatic orbital diseases]

Détails

ID Serval
serval:BIB_0D29FE882613
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Urgences en pathologie orbitaire non traumatique. [Emergencies in nontraumatic orbital diseases]
Périodique
Journal Français d'Ophtalmologie
Auteur(s)
Ducrey  N., Spahn  B.
ISSN
0181-5512 (Print)
Statut éditorial
Publié
Date de publication
11/2002
Volume
25
Numéro
9
Pages
927-30
Notes
Comparative Study
English Abstract
Journal Article --- Old month value: Nov
Résumé
INTRODUCTION: Nontraumatic orbital diseases only exceptionally require emergency treatment. In this paper an emergency is considered when the diagnosis and/or treatment must be done within a maximal period of 1 week. MATERIALS AND METHODS: All patients with nontraumatic orbital diseases from the Department of Ophthalmology of the University of Lausanne and from the office of one of the authors (N.D.) over the last 35 years were studied, in view of their degree of emergency. Data from 77 patients (28 females and 49 males), aged from birth to 85 years, were collected. RESULTS: Idiopathic inflammations of the orbit (pseudotumors) were the most frequent diagnoses seen as an emergency, followed by rhinological diseases with orbital consequences (exteriorized sinusitis or mucoceles), dysthyroid orbital pathologies, bleeding in lymphangiomas and varices, rhabdomyosarcoma, and acute dacryoadenitis. Fast progressive proptosis, oculomotor disorders, and pain are the most frequent alarm signals. After the diagnostic procedure, a surgical or medical treatment is frequently proposed. CONCLUSION: Although rare, emergencies in orbital diseases are a challenge for the general ophthalmologist. The morbidity and sometimes the mortality due to these diseases are often reduced by proper management. Patients generally have to be referred to a specialized unit.
Mots-clé
Acute Disease Adolescent Adult Age Factors Aged Aged, 80 and over Blepharoptosis/etiology Child Child, Preschool Diagnosis, Differential Emergencies Exophthalmos/etiology Female Granuloma, Plasma Cell, Orbital/diagnosis/therapy Humans Infant Infant, Newborn Male Middle Aged *Orbital Diseases/diagnosis/drug therapy/etiology/surgery Pain/etiology Sex Factors Time Factors
Pubmed
Web of science
Création de la notice
28/01/2008 13:42
Dernière modification de la notice
03/03/2018 13:39
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