复旦大学：《眼科学》课程教学课件（英文，Ophthalmology）ORBIT（Eye ball Extraocular muscles Optic nerve Nerves/vessels Fascia bulbi orbital fat）

ORBIT Eye and ENT Hospital, Fudan University Rui zhang

LOGO ORBIT Eye and ENT Hospital, Fudan University Rui Zhang

Bony orbit Ortibal plate of Supraorbital notch frontal bone Lesser wing Superior orbital fissure Greater wing Optic foramen of sphenoid Ethmoid bone Orbital surface of Lacrimal groove Inferior Lacrimal bone Infraorbital groove Orbital surface Infraorbital foramen vs of maxilla

Bony orbit

Orbital Contents Optic nerve Nerves/vessels Extraocular muscles Eye ball Fascia bulbi orbital fat

Orbital Contents Eye ball Extraocular muscles Optic nerve Nerves/vessels Fascia bulbi orbital fat

Expansive lesion Benign or malignant Arise from bone. muscle nerve blood vessels or connective tissue >Inflammatory, neoplastic, cystic, or vascular

 Expansive lesion  Benign or malignant  Arise from bone, muscle, nerve, blood vessels, or connective tissue  Inflammatory, neoplastic, cystic, or vascular

Evaluation of Orbital Diseases Age of onset Infants: capillary hemangioma Children: rhabdomyosarcoma, optic nerve glioma Adults: benign tumor, thyroid eye disease, pseudotumor Old people: malignant tumor, metastatic tumor Sex Female: thyroid eye disease, meningioma

Evaluation of Orbital Diseases Age of onset:  Infants：capillary hemangioma  Children：rhabdomyosarcoma, optic nerve glioma  Adults：benign tumor, thyroid eye disease, pseudotumor  Old people：malignant tumor, metastatic tumor Sex:  Female：thyroid eye disease, meningioma

Evaluation of Orbital Diseases s Prior disease( thyroid eye disease or sinus disease) s Injury(especially head or facial trauma) s Systemic disease(especially cancer) 心 Family history

Evaluation of Orbital Diseases Prior disease (thyroid eye disease or sinus disease) Injury (especially head or facial trauma) Systemic disease (especially cancer) Family history

Exophthalmometry

Exophthalmometry

Radiography(X-Ray) ☆ Orbital fractures .g Dacryocystography-lacrimal obstructions .o Location of orbital foreign body

Radiography (X-Ray)  Orbital fractures  Dacryocystography-lacrimal obstructions  Location of orbital foreign body

IMAGING- UItrasonography T=76. dB

IMAGING- Ultrasonography

IMAGING- UItrasonography LEFT+5 T=76. 9dB

IMAGING- Ultrasonography