2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part I: Orbit
Chapter 2: Evaluation of Orbital Disorders
The history establishes a probable diagnosis and guides the initial workup and therapy. It should include the following:
onset, course, and duration of symptoms (pain, altered sensation, diplopia, changes in vision) and signs (erythema, palpable mass, globe displacement)
prior disease (eg, thyroid eye disease, sinus disease) and therapy
injury (head or facial trauma)
systemic conditions (eg, cancer, inflammatory disease)
old photographs for establishing a timeline of the process
Pain may be a symptom of inflammatory or infectious lesions, orbital hemorrhage, malignant lacrimal gland tumors, invasion from adjacent nasopharyngeal carcinoma, or metastatic lesions.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.