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Ophthalmology General 95f73667

Traumatic eye with late presentation of hyperaemic sclera with unilateral proptosis is due to -

A
Retrobulbar hematoma
B
Retrobulbar cellulitis
C
Carotico- cavernous fistula
D
Pneumo- orbit
High-Yield Explanation
Retrobulbar hematoma usually presents with a history of trauma, painful exophthalmos (proptosis), retriction of extraocular movement, diffuse subconjunctival hemorrhage, periorbital edema and ecchymosis. Retrorbital abscess develops as a complication of orbital cellulitis (there is no history of symptoms of orbital cellulitis in this question). Carotico-covernous fistula typically presents, days or weeks after the trauma. There is characteristic pulsatile exophthalmos with severe and sudden cephalic & orbital pain, a roaring sound in head synchronous with the pulse, decreased vision, diplopia and ophthalmoplegia. Sorry friends, I could not get the reference for pneumo-orbit.

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