Medication
Medication Summary
The goals of pharmacotherapy are to reduce morbidity and to prevent complications. [4]
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Antibiotics
Class Summary
To prevent development of orbital cellulitis after blowout fractures.
Cephalexin (Keflex, Biocef, Keftab)
First-generation cephalosporin that arrests bacterial growth by inhibiting bacterial cell wall synthesis.
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Nasal decongestants
Class Summary
Promote nasal airflow and reduce likelihood of orbital emphysema.
Oxymetazoline (Dristan, Afrin, Chlorphed, Neo-synephrine)
Applied directly to mucous membranes where stimulates alpha-adrenergic receptors and cause vasoconstriction. Decongestion occurs without drastic changes in blood pressure, vascular redistribution or cardiac stimulation.
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Media Gallery
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Patient presented with persistent diplopia after an interpersonal altercation. Forced ductions revealed tight inferior and medial rectus muscles on right side. CT scan revealed orbital floor and medial wall fractures in right orbit.
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Patient with metastatic breast carcinoma to the intraconal space of the right orbit resulting in mild globe retraction and enophthalmos.
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