Ocular Ischemia from Orbital Cellulitis
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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.
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Orbital Cellulitis - Optic nerve compression with ocular ischemia615 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia583 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia577 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia556 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia497 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia522 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia493 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia528 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia482 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia499 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia493 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia528 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia563 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia523 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia513 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia508 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia518 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia557 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.     (0 votes)
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Orbital Cellulitis - Optic nerve compression with ocular ischemia481 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.     (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.