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81 year old woman with vision loss in the right eye for a few weeks. She presented on oral antibiotic for preseptal cellulitis but had restricted eye movement from orbital cellulitis. Vision was LP right eye and 20/32 left eye. She went to the hospital and was admitted for IV antibiotics. She had no orbital abscess. Ultimately the right eye became NLP and she developed a necrotic retinal detachment and corneal neurotropic ulcer. The FA in this case shows brisk circulation. I presume she had a CRAO in the recent past and the central artery had reperfused. Left eye has Dry AMD.

orbcell_pabr_101915_01.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia198 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_02.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia195 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_03.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia184 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_04.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia187 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_05.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia161 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_06.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia170 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_07.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia130 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_08.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia167 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_09.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia145 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_10.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia144 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_11.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia157 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_12.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia163 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_13.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia165 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_14.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia126 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_15.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia152 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_16.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia152 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_17.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia141 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_18.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia197 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
orbcell_pabr_101915_19.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia132 views81 year old woman with constricted eye movement, orbital cellulitis and severe vision loss in the right eye (LP). She has whitening of the retina and the OCT shows ischemic changes as well as subretinal fluid and blood. The vision in this eye declined to NLP and the eye remained ischemic despite control of her infection.00000
(0 votes)
 
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81 year old woman with vision loss in the right eye for a few weeks. She presented on oral antibiotic for preseptal cellulitis but had restricted eye movement from orbital cellulitis. Vision was LP right eye and 20/32 left eye. She went to the hospital and was admitted for IV antibiotics. She had no orbital abscess. Ultimately the right eye became NLP and she developed a necrotic retinal detachment and corneal neurotropic ulcer. The FA in this case shows brisk circulation. I presume she had a CRAO in the recent past and the central artery had reperfused. Left eye has Dry AMD.