By John Bryan Holds, MD
Emphasizing a pragmatic method of prognosis and remedy, this quantity summarizes present details on congenital, infectious, inflammatory, neoplastic, and annoying stipulations of the orbit and adnexa. Highlights comprise huge dialogue of thyroid-associated orbitopathy, lymphoproliferative issues, and eyelid neoplasms. includes up-to-date references and diverse new colour pictures.
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Extra resources for 2008-2009 Basic and Clinical Science Course: Section 7: Orbit, Eyelids, and Lacrimal System (Basic and Clinical Science Course 2008-2009)
Specific tissues, ultrasonographic Table 2-2 Comparison of CT and MRI in Orbital MRI CT Good technique for most orbital conditions, especially fractures thyroid-associated orbitopathy Good view of bone and calcium Poor definition of the orbital apex and Better spatial resolution Reformatting or rescanning required to image in multiple planes Improved imaging with contrast in many cases Less motion artifact because of shorter scanning time Less claustrophobic environment in scanner Good technique for patients with metallic foreign bodies Less expensive Disease technique Better technique for orbitocranial intracranial imaging junction or No view of bone or calcification Good view of orbital apex soft tissues unimpeded by bone More soft tissue detail Simultaneous imaging of multiple planes Improved imaging with contrast in many cases More motion artifact because of longer scanning time Tighter confines in scanner More contraindications (eg.
Ophthalmology. 2002; 109:2118-2122. management of necrotizing fasciitis of the Marshall DH, Jordan DR, Gilberg SM, Harvey J, Arthurs BP, Nerad JA. Periocular necrotizing fasciitis: a review of five cases. Ophthalmology. 1997; 104: 1857 -1862. Shayegani A, MacFarlane 0, Kazim M, Grossman ME. Streptococcal gangrene of the eyelids and orbit. Am J Ophthalmol. 1995;120(6):784-792.
33 without the expense and discomfort of intravascular catheterization and injection of contrast material, as well as the risks associated with these maneuvers. When determining which test to use, the ophthalmologist should consult with a radiologist to discuss the suspected lesion and to ensure selection of the imaging modality best suited for the patient. Pathology The diagnosis of an orbital lesion usually requires analysis of tissue obtained through an orbitotomy. Appropriate handling of the tissue specimen is necessary to ensure an accurate diagnosis.