bolesti orbite
TRANSCRIPT
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Karmen Lončarek 2007.
•Bolesti orbite i vjeđa
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OSNOVNE PATOLOŠKE PROMJENE
•EGZOFTALMUS/PROPTOZATireoidna orbitopatijaPseudotumor orbiteMukokelaGranulomatozne upale orbite
•UPALECelulitis orbiteThromboza kavernoznog sinusa
•VASKULARNI POREMEĆAJIKarotidokavernozna fistula- traumatska- spontana
•TUMORIPrimarni tumori:- vaskularni- neuralni- mezenhimalni- tumori suzne žlijezde-dermoidne ciste
Sekundarni tumori iz susjednih regija:- karcinomi kože- karcinomi paranazalnih sinusa- intrakranijalni tumori
Metastatski tumori:- leukoze- tumori dojke, pluća, jajnika, bubrega kod odraslih- neuroblastomi i sarkomi kod djece
•OSNOVNE PATOLOŠKE PROMJENE ORBITE
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CT i NMR su među temeljnim pretragama orbite
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Uredan frontalni CT presjek: orbite, nosna šupljina, paranazalni sinusi
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Karmen Lončarek 2003.
Zadebljani medijalni očni mišići
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Karmen Lončarek 2003.
Tumor ovojnice vidnog živca
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Anofalmija i destrukcija orbite recidivirajućim bazaliomom vjeđa
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Ispitivanje bulbomotorike pogledom u 9 smjerova
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Palpacija okoline oka u malog djeteta: odvući mu pažnju od pretrage dok ga roditelj drži u naručju
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•Tumori orbite
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Karmen Lončarek 2003.
Proptoza lijevog oka (meningeom prednje lubanjske jame sa širenjem u orbitu)
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Ista bolesnica:
•Proptoza lijevog oka prema dolje i temporalno•Široka nereaktivna zjenica (slijepo oko)
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Agresivni bazaliom gornje vjeđe – stanje nakon četiri reoperacije. Destrukcija kosti lubanje, gnojna fistula. Očna jabučica nije zahvaćena.
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Isti pacijent: limfomska masa desno prominira ispod donje vjeđe, a lijevo je vidljiva je pri izvrtanju gornje vjeđe.
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Hemangiom lijeve orbite koji seže do u gornju vjeđu
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•Orbita u autoimunim bolestima
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Sistemna sklerodermija: volumen orbitalnog tkiva narastao upalom potisnuo je očne jabučice prema naprijed i izazvao zastoj krvi u spojnici.
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Karmen Lončarek 2003.
Isti pacijent prije i nakon sistemne terapije steroidima
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Karmen Lončarek 2003.
Sistemna sklerodermija. Hiperemija spojnica obostrano; desno kemoza spojnice i protruzija očne jabučice usljed naraslog volumena upaljenog orbitalnog tkiva.
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Graefeov znak kod egzoftalmusa usljed distireoidne orbitopatije
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Obostrani egzoftalmus u endokrinoj orbitopatiji
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• Mikrobne upale orbite - celulitis
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Orbitalni celulitis lijevo: crvenilo i edem vjeđa, kemoza spojnice, proptoza, ograničena pokretljivost očne jabučice.
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Celulitis orbite uzrokovan etmoiditisom (stanje prvog dana nakon operacije etmoidnih sinusa)
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Karmen Lončarek 2003.
Preseptalni celulitis orbite
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•Ozljede orbite
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