By David Paton
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On investigation, the progressive features reflect tissue swelling, infiltration, and destruction with irregular margins, leading to abscess formation, loss of normal planes, separation of structures, and contrast enhancement. 44 Figure 3-1. An acute necrotizing infective lesion of the preseptal lid is shown before (top) and after treatment (bottom) with systemic antibiotics and local measures. Note minor damage to lid structures only. Figure 3-2. Acute sinus infection caused sudden and profound effects on ocular and orbital structures.
Several of its branches, including the anterior and posterior ethmoidal and posterior ciliary vessels, can usually be identified. 30 and coronal views as it courses near the trochlea to pass through the muscle cone inferior to the superior rectus and superior to the optic nerve, to exit the orbit through the superior orbital fissure. The inferior ophthalmic and connecting veins are seen inconsistently. Figure 1-23. Axial CT scans. (A, B, and C) Selected axial scans, performed with intravenous contrast enhancement, demonstrate anatomy progressing from an inferior level to a superior position in the orbit.
Anatomy of the orbital septum and associated eyelid connective tissues. Ophthal Plast Reconstr Surg 1991;7:104-13. Lids Anderson RL. Medial canthal tendon branches out. Arch Ophthalmol 1977;95:2051-2. Anderson RL, Beard C. The levator aponeurosis. Attachments and their clinical significance. Arch Ophthalmol 1977;95:1437-41. Anderson RL, Dixon RS. The role of Whitnall's ligament in ptosis surgery. Arch Ophthalmol 1979;97:705-7. Collin JRO, Beard C, Wood I. Experimental and clinical data on the insertion of the levator palpebrae superioris muscle.
Introduction to ophthalmoscopy by David Paton