A case of hard oleum rupture. Painfull and discharge of pus.

A case of hard oleum rupture. painfull and discharge of pus. what should be the rx??

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Drain the pus by puncturig lid skin with needle. Ampicilln with cloxacilin , diclofenac +paracetamol, Moxifloxacin eye drops, Tobramycin e/drops, chloramphenicol eye drops should be used. Once pus is drained it will resolve quickly.

I Agree with Dr Harshad
1

IF NOT TREATED PTOMPTLY CAN LEAD TO PRESEPTAL OR ORBITAL CELLULITS PICTURE IS ALREADY SUGESTIVE OF MARKED INFAMMATORY REACTION OF UNLID AT ONE POINT OF SOEX OF SWELLING THEIR IS SOME DRIED DISCHARGE SYSTEMIC ANTIBIOTICS I WOULD START INJECTABLES TOPUCAL MOXAFLOXINE EYE DRIOS ONE DROP 4 TIMES A DAY FIR ONE WEEK AT LEAST NON STERIODAL ANTIINFLAMMATORY EYE DROPS ONE DROP 3 TIMES A DAY MOXAFLOXINE EYE OINT AT BET TIME ORAL INDOCAP SR 75 MG ONE OF FOR FIVE DAYS SEE FOR ANY REFRACTIVE ERROR DEDRUFF F B S

Tab.Augmentin 625 bid Tab.Diclofenac plus serratiopeptidase bid Moxifloxacin plus ketorolac drops 2 qid Needs immediate Surgical intervention... incision and drainage under LA or topical.. Slit lamp to rule out any corneal infection...

The pus is pointing, so first try puncturing with a 26g needle at the slit lamp and expressing the pus out. Then treat with oral antibiotics and pain killers.

Multiple boiles with preseptal cellulitis , drain the Tab Augmentin 8 hourly Ibuprofen 400mg bd

Systemic antibiotics nd hot compresses along with anti inflammatory followed later by incision and drainage

Inj Genta. Tab Augmentin. Tab Ibugesic plus.

External hordeolum or stye Augmentin 625mg bd, ibuprofen + seratiopeptidase, ppi

Rule out diabetes / hiv/ other immunocompromised state. Refraction once the infection is controlled.

Tab Amoxy clav 625 with Serratiodiclopara bd and hot formentation

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