Mgmt - Ophthalmology referral Vitreal aspiration for culture Intravitreal antibiotics - broad spectrum Severe may require surgical vitrectomy + debridement.
eTG 2024 - Intravetrial antibiotics are the mainstay of treatment. If needing IV: Cerftazadime 50 mg/kg to 2g PLUS Vancomycin 30 mg/kg (Same abx intravetrial, weird ophthalmology doses obviously)
SVH 2021.1-14 (Answers were confusing here as to what diagnosis actually was… CT image below from same question but did not mention endopthalmitis)
Prompt
ResponseCT: R sided proptosis, R periorbital soft tissue swelling consistent with periorbital cellulitis
Stem: Unkpempt (IVDU) several days of eye pain
Other causes - Post procedure, foreign body
History - Pain/redness,. Floaters, photophobia, blurred vision.
Ex
Corneal oppacification
Hypopion
Irregular pupil
Pain, vision loss, chemosis, discharge
CT - Intraorbital fat stranding, proptosis, scleral thickening
Mgmt - Ophthalmology referral
Vitreal aspiration for culture
Intravitreal antibiotics - broad spectrum
Severe may require surgical vitrectomy + debridement.
eTG 2024 - Intravetrial antibiotics are the mainstay of treatment. If needing IV:
Cerftazadime 50 mg/kg to 2g PLUS Vancomycin 30 mg/kg (Same abx intravetrial, weird ophthalmology doses obviously)
SVH 2021.1-14
(Answers were confusing here as to what diagnosis actually was… CT image below from same question but did not mention endopthalmitis)