After the clinical diagnosis from evidence of ptosis, myosis, enophthalmos
, and anhidrosis, an neurological (sensory level and motor function) and cardiorespiratory (continuous monitoring of blood oxygen saturation with pulse oximetry, electrocardiography, and non-invasive blood pressure) exploration was initiated.
On Extra oral examination, Patient was having significant enophthalmos
of the right eye (Fig 1), diplopia on upward gaze and dystopia (change in ocular level).
Physical examination revealed that the cow was alert, with a good physical condition score, severe dehydration, enophthalmos
, tachycardia (100 beats per minute), normal respiratory rate (32 breaths per minute), ruminal and intestinal hypomotility, and abdominal distention in the right ventral quadrant.
The boy with gunshot injury had uveitis and optic atrophy developed enophthalmos
d) Mydriasis, enophthalmos
and transient hoarseness.
due to atelectasis of the maxillary sinus: silent sinus syndrome.
1), stiff motor response, accentuated myotactic reflex, protusion of third eyelid, enophthalmos
, erect ears, drawn back lips, tragic face, trismus, increased salivation, dysphagia, strong reaction to tactile and auditory stimulation of even mild nature, opisthotonus posture, muscle contraction, inability in prehension and swallowing and distended abdomen at various stages under treatment.
1) Postoperative diplopia and enophthalmos
are relatively common complications, despite apparently appropriate surgical repair.
In the eyes: enophthalmos
, exophthalmos, ptosis, myosis, mydriasis, nystagmus, lacrimation, chromodacryorrhea, relaxation of the nictitating membrane, and corneal opacity.
Common clinical features of zygomatic complex fractures include swell-ing of face, flattening of cheek, subconjunctival ecchy-mosis, sensory disturbance, enophthalmos
, diplopia and gagging of occlusion.
1-3) Horner's syndrome characteristically presents with the tetrad of ptosis, miosis, anhidrosis and apparent enophthalmos
secondary to a reduced palpebral fissure from upper-lid ptosis and elevation of the lower lid, so-called inverted ptosis.
It should be stressed that in contrast to Marfan syndrome, which is characterised by enophthalmos
, Shprintzen-Goldberg syndrome is characterised by proptotic eyes because of the existing craniosynostosis.