Saturday, September 18, 2010

Cosmetic

242) Several hours after a four-quadrant blepharoplasty (Subciliary approach) you are called by the patient’s husband and explains to you that his wife has a severe pain in to the left eye of 1-2 hours duration. You have just seen the patient. The physical examination does not reveal evidence of gross bleeding or hematoma. The eye is mildly swollen but not proptotic. The fluorescein test is negative. Which of the following diagnostic possibilities is the MOST likely?

A. Orbital hematoma
B. Corneal abrasion
C. Purulent conjuntivitis
D. Herpes virus conjuntivitis
E. Angle-closure glaucoma




REFERENCES & ANSWER



Colton J. J., Beekhuis G. J.: Blepharoplasty, Chapter 35, Otolaryngology-Head and Neck Surgery, (Cummings, Fredrickson, Harker, Krause, Richardson, Schuller, editors), Mosby, Third Edition, Volume one, pp. 696, 1998


242) E       Angle-closure glaucoma

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