Blowout fracture of the orbit Microphthalmos (defect in embryogenesis, also cataract and refractive errors) Cicatrising metastatic breast carcinoma (rare, progressive enophthalmos associated with very poor prognosis)
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over 6 years ago
32 yo overweight female presents with a headache. This headache is similar to prior headaches, which she gets frequently. The rest of her story seems consistent with a migraine and her physical exam, including a through neuro exam, is normal. However, you still feel concerned because she’s in the right demographic for idiopathic intracranial hypertension. You think the optic disc looked okay, but if you’re anything like me you’re not super confident in that assessment. What is another modality you could use to assess for increased intracranial pressure? How good of a test is it?
over 5 years ago
Cataracts are the commonest cause of blindness, worldwide. A cataract is the clouding of the lens that causes loss of transparency of the eye. It is treated by removing the lens and replacing it with an artificial lens. Cataract surgery is usually performed under local anaesthetic, either peribulbar or retrobulbar anaesthesia. There is debate over whether the peribulbar approach provides more effective and safer anaesthesia for cataract surgery than retrobulbar block. Peribulbar anaesthesia is performed by injecting the anaesthetic drug in the orbit around the equator of the eye ball (globe). Retrobulbar anaesthesia is performed by injecting the anaesthetic drug in the orbit further back behind the eye ball, which is near the nerves that control eye movement and sensation.
over 5 years ago
A previously well 16 year old girl presented to acute medical admissions (walk-in assessment clinic) with a one week history of swelling of her left eyelid. She was prescribed amoxicillin for a presumed folliculitis.
about 5 years ago
The authors present a novel bleeding risk score using routinely available clinical information to predict major bleeding in patients with atrial fibrillation.
almost 5 years ago
The ORBIT-AF registry "exposes both our progress and stagnation when it comes to AF management" in men and women, say researchers. For example, they note, effective therapies remained underused.
over 4 years ago