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10890254664075002178053674110Complications00Complications15100303674110Cavernous sinus thrombosis (if involvement of CN III, IV, VI)Frontal bone osteomyelitis, meningitis, subdural empyema, epidural / brain abscess00Cavernous sinus thrombosis (if involvement of CN III, IV, VI)Frontal bone osteomyelitis, meningitis, subdural empyema, epidural / brain abscess2178052761615Management00Management15100302762249Periorbital: PO augmetnin / cephalexin; if unwell cefotaxime / ceftriaxone + flucloxacillin if suspect staphOrbital: flucloxacillin + cefotaxime / ceftriaxone; urgent opthalmology review; may need decompressive surgery00Periorbital: PO augmetnin / cephalexin; if unwell cefotaxime / ceftriaxone + flucloxacillin if suspect staphOrbital: flucloxacillin + cefotaxime / ceftriaxone; urgent opthalmology review; may need decompressive surgery15138402352676CT00CT2216152352675Investigation00Investigation15144751170940Haemophilus influenzae; strep pneumoniae; staph aureus; G-ives; anaerobesUsually spread from sinus espexially ethmoidIs posterior to orbital septum00Haemophilus influenzae; strep pneumoniae; staph aureus; G-ives; anaerobesUsually spread from sinus espexially ethmoidIs posterior to orbital septum15144741820545History: headache, sinus symptomsExamination: ? eye movement chemosis, proptosis, ? visual acuity pupil dilation, RAPD00History: headache, sinus symptomsExamination: ? eye movement chemosis, proptosis, ? visual acuity pupil dilation, RAPD2178051173480Aetiology00Aetiology2216151820545Assessment00Assessment246380539750Orbital Cellulitis00Orbital Cellulitis1609725969645Blood accumulates behind globe proptosis, ischaemia of optic nerve ( fixed dilated pupil), visual lossManagement: urgent lateral canthotomy00Blood accumulates behind globe proptosis, ischaemia of optic nerve ( fixed dilated pupil), visual lossManagement: urgent lateral canthotomy290830970280Retrobulbar Haematoma00Retrobulbar Haematoma290830366395Lens Subluxation00Lens Subluxation1609725366395More common in Marfan’s; blurred vision if complete dislocation; quivering of iris when eye movedManagement: surgery00More common in Marfan’s; blurred vision if complete dislocation; quivering of iris when eye movedManagement: surgery ................
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