Orbital cellulitis Flashcards

1
Q

Orbital cellulitis

A

unilateral proptosis
decreased extra ocular motility
acute painful loss of vision and fever

Rx

  • IV broad spectrum AB immediately
  • Lab tests FBC, diff and blood culture x 2
  • check 4-6 hourly
  • surgery - canthotomy
  • analgesia

The ability to perform a lateral canthotomy and cantholysis is an essential skill for every ophthalmologist and emergency room physician. It can be a vision-saving technique in the setting of decreased perfusion to the optic nerve or globe as a result of increased orbital pressure

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