New PDF release: 2014-2015 Basic and Clinical Science Course (BCSC): Section

By American Academy of Ophthalmology, John Bryan Holds MD

Information the anatomy of the orbit and adnexa, and emphasizes a realistic method of the review and administration of orbital and eyelid issues, together with malpositions and involutional adjustments. Updates present info on congenital, inflammatory, infectious, neoplastic and tense stipulations of the orbit and accent constructions. Covers key elements of orbital, eyelid and facial surgery.

Upon crowning glory of part 7, readers could be capable to:

Describe the traditional anatomy and serve as of orbital and periocular tissues
Choose acceptable exam thoughts and protocols for diagnosing issues of the orbit, eyelids, and lacrimal system
Describe practical and beauty symptoms within the surgical administration of eyelid and periorbital stipulations

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Additional resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 7: Orbit Eyelids and Lacrimal System

Sample text

Ophthalmology Monograph 9. San Francisco: American Academy of Ophthalmology; 1996. 7 CHAPTER 2 Evaluation of ·orbital Disorders The evaluation of an orbital disorder should distinguish orbital from periorbital and intraocular lesions. This distinction provides a framework for development of a differential diagnosis. The evaluation begins with a detailed history to establish a probable diagnosis and guide the initial workup and therapy. Such a history should include • onset, course, and duration of symptoms (pain, altered sensation, diplopia, changes in vision) and signs (erythema, palpable mass, globe displacement) • prior disease (such as thyroid eye disease [TED] or sinus disease) and therapy • injury (especially head or facial trauma) • systemic disease (especially cancer) • family history Old photographs are frequently helpful for evaluating onset of globe displacement and establishing duration of the disease.

However, methicillin-resistant s aureus (MRSA), previously recognized as a cause of severe nosocomial infections, is now increasingly encountered in the community setting as well. Community-associated MRSA (CA-MRSA) infections tend to present as a fluctuant abscess with surrounding cellulitis. The pain associated with the lesion is often out of proportion to its appearance. CA-MRSA is often susceptible to a range of antibiotics (including trimethoprim-sulfamethoxazole, rifampin, or clindamycin), whereas hospital-associated MRSA is sensitive only to vancomycin and linezolid.

Henderson JW, Campbell RT, Farrow GM, et al. Orbital Tumors. 3rd ed. New York: Raven; 1994. Rootman J, ed. Diseases of the Orbit: A Multidisciplinary Approach. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. Palpation Palpation around the globe may disclose the presence of a mass in the anterior orbit, especially if the lacrimal gland is enlarged. Increased resistance to retrodisplacement of the globe is a nonspecific abnormality that may result either from a retrobulbar tumor or from diffuse inflammation such as TED.

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