Clarius Classroom

Preorbital Cellulitils

Dr. Oron Frenkel

Scanning the soft tissue surrounding the eye can identify cellulitis and edema and reduce the likelihood of a drainable abscess.

Specialties: Emergency Medicine, Hospitalist, Ophthalmology, Primary Care, Rural
Applications: Dermatology, Superficial
in this video we see a linear scanner on an ocular preset here in a transverse plane visualizing the globe of a patient who presented with significant amount of eye swelling and what we'll find is that superficial to the globe here there is a lot of extensive hypoechoic areas in these tissue planes and the clinical question is query abscess the scanner can go around and find what looks like hypo coke but there's no obvious dark anechoic fluid collection though here lateral to the eye there is a suspicion that maybe some of these might be purging fluid versus tissue edema it appears to be have some echogenicity compared to the globe so that suggests not an abscess and then turning on color flow really shows that there is color flow on the doppler throughout all this tissue really suggesting that there is no drainable significant fluid collection at least on this ultrasound scan

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