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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 ischemia227 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 ischemia224 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 ischemia219 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 ischemia212 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 ischemia185 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 ischemia200 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 ischemia158 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 ischemia194 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 ischemia172 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 ischemia169 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 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_12.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_13.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia193 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 ischemia164 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 ischemia177 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 ischemia176 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 ischemia171 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 ischemia225 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 ischemia160 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.