Exophthalmos (eyedrops): symptoms and treatment


Exophthalmos or eyelashes is the pathology of the eyeball, in which it extends forward beyond the orbital level, and sometimes to the side. Usually, such a condition is a symptom of other diseases — eye or non-eye diseases, so when an exophthalmos appears in a person, it is urgent to see a doctor and take examinations to establish the causes of the disorder.

In the people, this pathology is called poochia, and it can be a congenital feature of a person. In this case, the congenital exophthalmos are bilateral and characterized by unexpressed symptoms, whereas the acquired one can be either one-sided or two-sided, and its manifestations are clearly expressed. Goutache can progress for years, with the increase in symptoms, or develop in just a few weeks, with both men and women of any age, and even children, who suffer from the disease.

Reasons

Euphorbia indicates the presence of a person in some congenital or acquired diseases. In cases where the disorder is caused by eye diseases, the eyelash develops predominantly from one side, and if there is a bilateral exophthalmos, this usually indicates that there are problems with the thyroid gland. Predominantly in humans develops just such, endocrine exophthalmos, that is, protrusion of eyeballs due to the presence of pathologies of the endocrine system.

The disease develops because of the excessive proliferation of the orbital tissues of the eye in the retrobulbar space. In turn, the tissue begins to grow because of traumatic injuries, inflammatory processes or processes that are of a neurodystrophic nature. In this case, according to the nature of the prevalence of the process, eyelashes are:


  • Local;
  • diffuse.

With a local form, inflammatory or traumatic lesions of the eye’s orbit directly are noted. In diffuse — eyedropper is a consequence of such pathologies as:


  1. hydrocephalus;
  2. toxic goiter;
  3. hypothalamic syndrome;
  4. Lymphadenosis.

The most frequent factors provoking the development of such a violation are also:


  • paralysis of the eye muscles
  • trauma with hemorrhage in the orbit
  • congenital glaucoma
  • swelling in the orbit
  • inflammation of the sinuses of the nose and of the lacrimal glands
  • ocular varicose or vasculitis and some others.

Symptoms

Before describing the symptoms of such a pathology as bluecloss, it is necessary to understand what its forms are found in modern medical practice. There are four such forms.

The first is imaginary exophthalmos , which develops due to abnormalities in the structure of the skull and orbit, and also due to congenital pathologies such as glaucoma or marked short-sightedness.

The second form is true pop-eyed . It is spoken about in those cases when the disease is caused by endocrine disorders or tumor-like and inflammatory processes in the orbit.

The third form is alternating . It occurs when a person tilts his head — it occurs as a consequence of osteoporosis, for example, in varicose veins.

The fourth form of such a pathology as the eyedropper is pulsing . It manifests itself by a pronounced pulsation of the eyeball, which protrudes strongly at the peak, and then again returns to the orbit. This condition occurs in people who have an aneurysm of the orbit or suffering from thrombosis of the cavernous sinus.

Separately, you should pay attention to a pathology such as edematous exophthalmos . This disease develops mainly in people after 40 years of age and is malignant, characterized by severe symptoms with impaired mobility of the eyeball and reduced visual quality, up to its complete loss due to compression of edematous optic nerve tissues. It develops with diffuse-toxic goiter as a consequence of hormonal imbalance in the body.





Edemary exophthalmus is expressed by strong protrusion, up to a dislocation, as well as by excessive pain syndrome — the pain in some cases is not eliminated even by narcotic drugs. Treatment of such a disease should be prompt — in most cases, decompressive trepanation of the orbit is shown in order to restore the eye orbit to its place and stop pain and other manifestations.

Symptoms of the disease depend on the stage — hardly noticeable protrusion does not cause discomfort to a person and it can not even be seen with the naked eye and determined only with the help of special instruments. When the eyelashes are expressed, it delivers not only physical, but also psychological discomfort to a person, since the eyes are in sight, and the surrounding people always pay attention to them when communicating with a person, which causes the patient to feel uncomfortable and other negative feelings. Therefore, the sooner a person seeks medical help, the faster he can cure the disease and return to normal life.

If the disease is started, exophthalmus progresses, and the following symptoms develop:


  1. the swelling of the eyelids;
  2. decreased vision;
  3. redness sclera
  4. double vision

Another symptom characteristic of puerpergia is the inability to close eyelids, which causes the conjunctiva to dry up and develop inflammatory-dystrophic changes in it.

In those cases where a patient has a unilateral exophthalmos, the likelihood that he is caused by a tumor in the orbit is high. Limitation of mobility of the eyeball or its complete absence is a characteristic sign of tumor-like pathology. If the pathology is not cured at this stage, the optic nerve may be squeezed, resulting in symptoms such as a violation, and then a complete loss of vision without recovery.

Diagnosis and treatment

To cure the disease in a person, you need to diagnose it in time. Of course, it is easier to treat gumball at the initial stage, when there are no pronounced dystrophic changes and a decrease in vision. However, rarely a violation can be diagnosed, because the initial symptoms may be invisible to the unaided eye. In general, to make a diagnosis in the case of this violation is not difficult, because all the symptoms are in sight. In addition, exophthalmometry is performed — examination of eyeballs using special mirrors.

Treatment of blunted eyes should be to eliminate the underlying cause. In particular, if the cause is a violation in the thyroid gland, then a person needs to contact an endocrinologist who will prescribe appropriate therapy, namely, drugs that correct the function of the thyroid gland — glucocorticosteroids.

In those cases when a pathological condition in a person is caused by inflammatory processes, the treatment of exophthalmos will include the use of a wide range of anti-inflammatory and antibacterial drugs. Also, sulfanilamide preparations and vitamins are prescribed. And if the disease is caused by a cancerous tumor, surgery, chemotherapy and radiation therapy under individual schemes are performed.

Treatment of exophthalmus with severe symptoms, when there is a risk of squeezing the optic nerve, requires a surgical procedure. In general, surgery in many cases becomes the only way to return a bulging eye to the orbit. It should be noted that it is impossible to cure the disease by folk remedies, so do not waste precious time searching for «miracle medicine», but it’s better to seek medical help faster.