Exophthalmos Pulsating

Exophthalmia pulsatile

Pulsatile exophthalmia manifests itself in the form of severe enlargement of one or both eyeballs, which occurs periodically and is accompanied by severe pain, lacrimation and photophobia, and also significantly affects the patient’s quality of life.

This pathology was first described by British ophthalmologist John Billiard in 1883. At that time, the disease was considered an independent form of the disease called progressive corneal conjunctival reaction (progressive keratoconjunctivitis).

In Russia it was known as Rosenstein's disease until it was recognized and named exophthalmia pulsatile.

The eyeballs enlarge due to inflammatory changes in cell membranes, nerve endings and vessels of the conjunctiva and sclera. The disease develops quite quickly and can deteriorate vision to the point of blindness, which emphasizes the importance of timely diagnosis and treatment.

The main symptoms of exophthalmic pulsation include: - severe pallor of the eyeball; - pain in the eyeballs, increasing with movement; - redness and swelling of the skin around the eyes; - swelling of the cheeks, nose and lips, watery eyes; - deterioration of night vision due to inflammatory swelling of the conjunctiva; - dry eyes and burning due to an increase in the volume of the palpebral fissure;

Treatment of exophthalmic pulse can be carried out by ophthalmologists, rheumatologists, allergists and therapists, since this disease is caused by a variety of reasons. The prognosis depends on the duration of the disease, its severity and the factors that caused it