The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Subperiosteal abscess with sinusitis

Photo by Dr. Tan Aik Kah

A 16 year-old presented with one-week history of progressive left orbital and forehead swelling with pyrexia. Examination revealed left proptosis with poor left upgaze and adduction. An urgent CT scan revealed a left subperiosteal abscess involving the medial orbital wall and bilateral frontal, ethmoidal and maxillary sinusitis. He was admitted for intravenous augementin and metronidazole and an endoscopic drainage of the abscess was arranged with the ENT Department.

 

Left proptosis with forehead swelling.

 

The left eye shows poor upgaze and adduction.

 

Bilateral ethmoidal sinusitis with subperiosteal abscess of the left medial wall.

 

Bilateral frontal sinusitis.

 

 

Bilateral maxillary sinusitis.

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