Exopthalmus

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some things that come to mind:

tumor, hemorrhage and/or trauma, infection/cellulitis, problems in the cavernous sinus
 
mjl1717 said:
What else can cause exopthalmus beside hyperthyroidism?

I believe Graves disease as well
 
mjl1717 said:
What else can cause exopthalmus beside hyperthyroidism?

Technically speaking, hyperthyroidism does not cause exophthalmos. Graves Disease causes hyperthyroidism and autoimmune-mediated exophthalmos.

Hyperthyroidism can cause raising of the upper eyelid, but that's not exophthalmos.
 
lord_jeebus said:
Technically speaking, hyperthyroidism does not cause exophthalmos. Graves Disease causes hyperthyroidism and autoimmune-mediated exophthalmos.

Hyperthyroidism can cause raising of the upper eyelid, but that's not exophthalmos.

Actually hyperthyroidism in and of itself does not cause lid retraction. You need to have thyroid eye disease (Graves' ophthalmopathy) for that too.
 
NR117 said:
Actually hyperthyroidism in and of itself does not cause lid retraction. You need to have thyroid eye disease (Graves' ophthalmopathy) for that too.

I don't think so. I'm talking about the effects of sympathetic overactivity: 1-2 mm elevation of the upper eyelid, and "lid lag".

"Eye signs of hyperthyroidism include stare, lid lag, lid retraction, and mild degrees of conjunctival injection. These signs are largely due to excessive adrenergic stimulation and usually remit with successful treatment. Infiltrative ophthalmopathy is a more serious development and is specific to Graves' disease." http://www.continuingeducation.com/pharmtech/thyroid/5_Symptoms_Signs.html

Google can find you other sources that basically say the same thing.
 
I concur with jeebus. Lid lag & retraction in hyperthyroidism is due to sympathetic overactivity. Lid lad does not cause exophthalmos although the appearance of the upper margin of the eye in lid lad which is otherwise hidden can appear to be proptosis. You can have lid lag/retraction with or without exophthoamos
 
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