Orbital disorders (PEARLS)
NCCPA™ PANCE Eyes, Ears, Nose, and Throat Content Blueprint eye disorders ⇒ orbital disorders
Orbital cellulitis (ReelDx) |
Infection of orbital muscles and fat behind the eye (periorbital = infection only of skin)
- Decreased extraocular movement, pain with movement of the eye and proptosis, signs of infection
- Often associated with sinusitis. Occurs more often in children than adults - ages 7-12 y/o
- Decreased vision is a rare manifestation of orbital cellulitis
DX: CT Scan of orbits (confirmatory)
- Focused assessment on extraocular muscles
- CBC and blood cultures in some settings
Tx: Hospitalization and IV broad-spectrum antibiotics (vancomycin) |
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