2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part I: Orbit
Chapter 2: Evaluation of Orbital Disorders
History
The history establishes a probable diagnosis and guides the initial workup and therapy. It should include the following:
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onset, course, and duration of symptoms (pain, altered sensation, diplopia, changes in vision) and signs (erythema, palpable mass, globe displacement)
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prior disease (eg, thyroid eye disease, sinus disease) and therapy
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injury (head or facial trauma)
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systemic conditions (eg, cancer, inflammatory disease)
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family history
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old photographs for establishing a timeline of the process
Pain
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.