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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 ischemia424 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 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.May 06, 2016
orbcell_pabr_101915_17.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia468 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 ischemia470 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 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_14.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_13.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia507 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 ischemia470 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 ischemia446 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 ischemia460 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 ischemia448 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 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.May 06, 2016
orbcell_pabr_101915_07.jpg
Orbital Cellulitis - Optic nerve compression with ocular ischemia433 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 ischemia473 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 ischemia450 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 ischemia506 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 ischemia534 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 ischemia525 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 ischemia568 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.