Orbit

Question 1

Arteriovenous Malformation

Answer 1

Refer to Neuro STAT for additional testing and treatment.

Treatment is usually conservative but surgery is an option; surgical resection, radiation therapy, or emobilzation

Question 2

Carotid-Cavernous Fistula

Answer 2

Refer to monitor, surgery if indicated

Question 3

Grave’s Disease (Thyroid Related Ophthalmopathy)

Answer 3

Refer for proper thyroid management. Cessation of smoking.
Topical lubrication drops during the day/Topical lubrication gel at night.

Tapezza oral prescription medication that be prescribed by PCP and ophthalmology

Refer to oculoplastic specialist if surgery such as EOM, eyelid, or orbital surgery is needed.

Question 4

Orbital Cellulitis

Answer 4

Refer to ER STAT.

IV Antibiotics in hospital.

Penicillin derivatives

if MRSA is suspected Add vancomycin

Cephalosporin consideration in cases of penicillin allergy

FQ in cases of cephalosporin allergy

Oral Augmentin 875 mg bid (adults)
Cefpodoxime 200mg bid (adults)
If MRSA consider doxycycline 100mg bid or bacterium 160/800bid.