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Last additions - Ocular Ischemia from Orbital Cellulitis

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_19.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia420 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.May 06, 2016
orbcell_pabr_101915_18.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia505 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.May 06, 2016
orbcell_pabr_101915_17.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia465 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.May 06, 2016
orbcell_pabr_101915_16.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia467 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.May 06, 2016
orbcell_pabr_101915_15.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia462 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.May 06, 2016
orbcell_pabr_101915_14.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia454 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.May 06, 2016
orbcell_pabr_101915_13.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia503 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.May 06, 2016
orbcell_pabr_101915_12.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia464 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.May 06, 2016
orbcell_pabr_101915_11.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia441 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.May 06, 2016
orbcell_pabr_101915_10.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia458 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.May 06, 2016
orbcell_pabr_101915_09.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia445 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.May 06, 2016
orbcell_pabr_101915_08.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia480 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.May 06, 2016
orbcell_pabr_101915_07.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia426 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.May 06, 2016
orbcell_pabr_101915_06.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia466 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.May 06, 2016
orbcell_pabr_101915_05.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia443 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.May 06, 2016
orbcell_pabr_101915_04.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia504 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.May 06, 2016
orbcell_pabr_101915_03.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia526 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.May 06, 2016
orbcell_pabr_101915_02.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia515 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.May 06, 2016
orbcell_pabr_101915_01.png
Orbital Cellulitis - Optic nerve compression with ocular ischemia561 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.May 06, 2016
 
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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.