Eyelid and Lacrimal System Exam

When examining the position of the eyelids, it is essential to check the position of the eyebrows. Measuring the extent of proptosis and the difference between the two eyes can be used to differentiate between diseases causing proptosis. The unilateral proptosis indicates an intraorbital disease, while bilateral proptosis indicates a systemic disease. When the cause of epiphora is examined by slit lamp examination, digital compression of the lacrimal sac, fluorescein retention test, lacrimal duct irrigation, probing, dacryocystography, and dacryoscintigraphy.