Urgences en pathologie orbitaire non traumatique. [Emergencies in nontraumatic orbital diseases]
Details
Serval ID
serval:BIB_0D29FE882613
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Urgences en pathologie orbitaire non traumatique. [Emergencies in nontraumatic orbital diseases]
Journal
Journal Français d'Ophtalmologie
ISSN
0181-5512 (Print)
Publication state
Published
Issued date
11/2002
Volume
25
Number
9
Pages
927-30
Notes
Comparative Study
English Abstract
Journal Article --- Old month value: Nov
English Abstract
Journal Article --- Old month value: Nov
Abstract
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.
Keywords
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
Create date
28/01/2008 13:42
Last modification date
20/08/2019 13:34