DR. PAYAL SINGLA

Dr.Jyoti Bhuyan, Dr.GITIKASH PURKAYASTHA, Dr.RITA DEKA

Abstract

A 53 year male presented with gradual, painless diminution of vision with swelling of R/E since 15 days. O/E, BCVA in R/E: HM, L/E: 6/9, abaxial proptosis, restricted EOM in all directions, conjunctival injection, high iop R/E. Fundus showed pale optic disc R/E, macular exudates B/E. Patient is diabetic on OHA with raised ESR and CRP; RBS: 152 mg/dl. MRI shows right sided orbital abscess involving extraconal compartment extending into right orbital apex with compression of right optic nerve, probably of infective etiology. Montoux test is positive, CT thorax is WNL. HPE of biopsy from middle turbinate showed granulomatous inflammatory cellular lesion. Patient started on ATT. He got relieved of symptoms and is under follow-up.

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