PMC6734497_01
External photograph displaying moderate edema and erythema of the right upper and lower eyelids, as well as complete ptosis of the right upper eyelid (a). The left eye is unremarkable. External photograph of the patient's right eye being manually opened (b). There is marked chemosis of the conjunctiva and mucous strands on the cornea. A pupillary hypopyon is partially visible.
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F1
There was moderate proptosis of the right eye, tense edema and erythema of both the right upper and lower eyelids (Figure 1a (Fig. 1)). The patient also had significant chemosis (Figure 1b (Fig. 1)), fibrin over the pupil and a 0.5 mm hypopyon.
Axial (a) and sagittal (b) computed tomography (CT) post-contrast images showing proptosis of the right eye with orbital fat stranding focused primarily around the globe. There is no evidence of sinus disease or subperiosteal abscess.
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F2
A computed tomography (CT) scan of the orbits showed right-sided orbital cellulitis with significant fat stranding centered around the globe and no significant sinus disease (Figure 2 (Fig. 2)).
Ultrasound image of the right eye demonstrating dense hyperechoic cellular debris within the vitreous cavity suggestive of vitritis
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F3
Ocular ultrasound demonstrated hyperechoic material in the vitreous cavity consistent with vitritis (Figure 3 (Fig. 3)).