Concluded Case

50 yr female patient ,c/o orbital swelling , conjuctival chemosis, subconjuctival haemorrhage since 5 days , NO perception of light , pupil non reacting to light . She is covid positive patient admitted in icu on 18/4/21 since then recieving methylprednisolone iv. Is this orbital mucormycosis ?please give management also

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WITH THIS ORESENTATION OF LID HEMATOMA CONJUCTIVAL CHEMISIS AND PROPTOSIS CAN BE KING OF ORBITAL MUCOMYCOSIS PARASITIC INVOLVEMENT

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Yes, this is orbital mucormycosis. Rx : Vn is no pl . If infection has started to extend into brain , orbital exenteration should be done to save life of pt.

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Get a CT scan orbit and PNS with contrast done... Could be orbital mucormycosis.. If so start inj liposomal amphotericin b 3mg/kg/day, inj pipracillin+ tazobactum4.5 g bd , inj metrogyl 100ml tds

Mucormycosis- Silicea and Hypericum and Myrestica dressing can help

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Viral conjunctivitis firstly test for covid 19.. IOL test Then Rx Chemosis is swelling of the tissue that lines the eyelids and surface of the eye (conjunctiva). Chemosis is swelling of the eye surface membranes because of accumulation of fluid. This symptom is often related to an allergic response. Chemosis eye treatment If your conjunctival chemosis is caused by irritation, cold compresses and rest might do the trick. Common treatments for chemosis include: antihistamines, eye drops, eye ointment or even surgery to fix a problem with the way the eye closes...

Viral conjunctivitis is one of the symptoms of covid -19 , severe acute respiratory distress syndrome SARS- covid Corona virus can cause anterior uveitis, retinitis , vasculitis and optic neuritis Lack of eye protection is primary risk factor is SARS COv -19 Significant eye pain dilated pupil among other factors Lubricant eye drops, cold compresses and lubricant eye ointment, topical antibiotic drops

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OPHTHALMIC INVOKVEMENT OF COVID 19 IS KIND OF LID DWELLING DIABETIC RETINOPATHY RETINAL HENARGES KAWA SSKIS DESEASE G B SYNDTOME ANT ISC OPTIC NEUROPSTHY KERATITITS THSES ARE ATYOUCAL EYE MANIFESTIONS OF COVID I9

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WITH THIS ORESENTATION OF LID HEMATOMA CONJUCTIVAL CHEMISIS AND PROPTOSIS CAN BE KING OF ORBITAL MUCOMYCOSIS PARASITIC INVOLVEMENT

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