A Clinical Study of Cause of Unilateral Exophthalmos. |
Hweon Min Koo, Sung Gyun Shin, Ill Han Yoon, In Gun Won |
Department of Ophthalmology, College of Medicine, Inje University, Pusan Paik Hospital, Pusan, Korea. |
편측성 안구돌출의 임상적 고찰 |
구훤민(Hweon Min Koo),신성균(Sung Gyun Shin),윤일한(In Han Yoon),원인건(In Gun Won) |
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Abstract |
We reviewed the charts of 39 patients had a exophthalmos of 2mm or more than the sound eye by Hertel's exophthalmometer during the last 5 years retrospectively. We attempted to analyze the causes of exophthalmos and the correlation between its causes and degree of exophthalmos, visual acuity, extraocular muscle motion limitation and fundus changes. The most common cause of unilateral exophthalmos was orbital tumor(14/39, 36%), the degree of exophthalmos in orbital tumor showed a tendency to be greater than that of other causes. In orbital tumor patients, extraocular muscle motion limitation and fundus changes also shows a higher tendency than the others. Among unilateral exophthalmos patients, if the degree of exophthalmos, fundus changes and extraocular muscle motion limitation shows moderate or over, it may strongly suggest that the cause is orbital tumor. And also, it is important to cooperate with other departments, especially otorhinolaryngology, in diagnosis and treatment of unilateral exophthalmos patients. |
Key Words:
Degree of exophthalmos;Extraocular muscle motion limitation;Fundus changes;Orbital tumor;Unilateral exophthalmos;Visual acuity |
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