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Also associated signs and symptoms should not be ignored (In this case proptosis, chemosis and eye pain) which might not fit into initial diagnosis (Here oculomotor palsy) and hence should make us think about alternative diagnostic possibility (here orbital pseudotumour).
Clinical features include abrupt onset of painful proptosis, chemosis, ophthalmoplegia, and diminished visual acuity.
The total score of the signs (TSS) was calculated as the sum of the score of conjunctival hyperemia and chemosis, conjunctival serous and mucosal secretion, large and small tarsal papillae, limbal dots or nodules, and superficial wound corneal epithelium or corneal ulceration, obtaining a TSS from 0 to 18.
Depending on the site of inflammation, the disease may cause dry eye symptoms or conjunctival chemosis, while the increased orbital volume may cause proptosis and eye movement disorders [2, 7].
The zygomatic complex fracture exhibits a wide range of signs and symptoms which includes pain, sensory deficit, deformity or displacement, trismus, ecchymosis (periorbital or maxillary vestibular), a flattened arch or malar prominence, periorbital edema, displacement of palpebral fissure, conjunctival hemorrhage, diplopia, chemosis, enophthalmos, exophthalmos, and crepitus from air emphysema.8
These symptoms were accompanied by chemosis (edema in the conjunctiva) in seven patients and by proptosis (forward shifting of the eye caused by any space-occupying formation in the orbit) in four patients.
Mechanically ventilated patients with positive end-expiratory pressure (PEEP) more than 5 mm [H.sub.2]O can develop a condition called "ventilatory eye" and iatrogenic corneal injury, due to decreased venous drainage, conjuctival edema and chemosis .
There was no documented hyphaema or chemosis of the eye, but there was conjunctivitis.
In addition, he had binocular palpebral edema, proptosis, chemosis, lagophthalmos, and ocular motility disorder.
On examination there was only bilateral exophthalmos with marked chemosis. Magnetic resonance imaging (MRI) of the orbits showed typical findings of GO.
Common complications were a tonic pupil, subconjunctival haemorrhage, chemosis, weakness of recti and diplopia.
Physical exam revealed right mandibular pain and swelling, bilateral chemosis, impairment of right eye abduction, and vertical gaze (Figure 1).
The signs and symptoms of allergic conjunctivitis include conjunctival congestion (redness), chemosis, lid edema, ocular itching, discomfort, foreign body sensation, stinging, photophobia, and watering of eyes.
The clinical activity score (CAS) of GO in clinical practice was based on the clinical score standards of Chinese Guideline for Diagnosis and Treatment of Thyroid Disease, including spontaneous retrobulbar pain, pain with eye movement, eyelid erythema, conjunctival hyperemia, chemosis, swollen lacrimal caruncle, and swollen eyelid.
Based upon our own clinical experience with chronic conjunctivitis in cats and for the purpose of the study, sick animals comply with criteria such as manifestation of conjunctivitis (ocular discharge, chemosis, and conjunctival edema) lasting about six months and insufficient response to the standard ophthalmological treatment (history of the treatment with ophthalmic ointments and eye drops).
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