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DEPARTMENT OF OPHTHALMOLOGY PESHAWAR MEDICAL COLLEGE, PESHAWAR.

DEPARTMENT OF OPHTHALMOLOGY PESHAWAR MEDICAL COLLEGE, PESHAWAR. Dr. Muhammad Arif Assistant Professor Department of Ophthalmology. ORBIT. BONY CAVITIES IN THE SKULL CONTAINING Globes EOM Nerves Vessels FAT pads Lacrimal gland Periorbita Orbital septum. Orbital Dimension.

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DEPARTMENT OF OPHTHALMOLOGY PESHAWAR MEDICAL COLLEGE, PESHAWAR.

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  1. DEPARTMENT OF OPHTHALMOLOGY PESHAWAR MEDICAL COLLEGE, PESHAWAR.

  2. Dr. Muhammad Arif Assistant Professor Department of Ophthalmology

  3. ORBIT BONY CAVITIES IN THE SKULL CONTAINING • Globes • EOM • Nerves • Vessels • FAT pads • Lacrimal gland • Periorbita • Orbital septum

  4. Orbital Dimension

  5. Orbital anatomy • Floor • Roof • Lateral wall • Medial wall

  6. Developmental defects • Microphthalmos • Anophthalmos • Ccphaloccles

  7. Evaluation of orbital diseases • Detail history • Onset • Duration of symptoms • Injury • Prior disease • Systemic disease • Family history

  8. Course of symptoms • Pain • Proptosis • Progression • Palpation • Pulsation • Periorbital changes

  9. Examination • Visual acuity • Refraction • Color vision • Pupils • Extraocular motility • Anterior segment • Posterior segment • Eyelids

  10. Tools of examination • Exophthalmometry • CT Scan orbit in brain • MRI • Orbital sonography • Orbital endoscopy

  11. Preseptal cellulitis • Preseptal cellulitis is defined as inflammation and infection confined to the eyelids and periorbital structures anterior to the orbital septum.

  12. Organism causing • Haemophilus influenzae • Gram-positive cocci • Staphylococcus aureus

  13. Investigations • History • Clinical examination • Blood complete • Bacteriological examination

  14. Treatment • Antibiotics • Analgesics • Surgical drainage

  15. Orbital cellulitis • Active infection of the orbital soft tissue is present posterior to the orbital septum. • Symptoms • Fever • Leukocytosis • Proptosis • Restriciton of ocular motility • Pain on movement of the globe

  16. causes • Paranasal sinuses • Face and eyelids • Dacryocystitis • Dental infection • Intracranial • Trauma • Dacryoadenitis • Endophthalmitis

  17. Treatment • Medical • Surgical

  18. Proptosis • Protrution: of the eyes secondary to and orbital space lesion • Exophthalmos: proptosis secondary to dysthyroid disease.

  19. Evaluation • History of proptosis Slow Abrupt Explosive • Displacement Axial Medial Lateral

  20. Evaluation • Diplopia Horizontal Vertical • Pain Referred Ocular

  21. Evaluation • Vision (Decrease) Slowly Progressive Not effected

  22. BLOW OUT FRACTURE EVALUATION AND TREATMENT

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