Essilor-600X120-Above Article-Vision Expo

A 36-year-old Caucasian female was referred for pre-septal cellulitis unresponsive to oral antibiotics. The patient reported a “bump” in the middle of her eyelid that became tender and swollen over 3 days. Her optometrist started her on Augmentin 875mg bid but the condition continued to worsen even after 3 days of taking the medication and using hot compresses. She presented to me as a referral with a large, very tender area of cellulitis, concerning for an abscess, without lid margin involvement. Vision, EOMs, pupils, and examination of the globe were within normal limits. Given the presentation, a methicillin-resistant staph aureus (MRSA) periorbital, pre-septal cellulitis was suspected. The patient was questioned about a history of MRSA and reported that, although she had never had a MRSA infection herself, her husband had been diagnosed with a MRSA infection the previous year.

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Jill Autry
Dr. Autry received her pharmacy degree from the University of North Carolina at Chapel Hill.  She practiced in critical care before returning for her optometry degree at the University of Houston.  Following graduation, she performed a residency in ocular disease and surgical comanagement at the Eye Center of Texas ophthalmology center where she is a partner today. Dr. Autry lectures nationally and internationally on a variety of pharmaceutical and ocular disease topics and has authored numerous articles for both optometric and pharmaceutical journals.

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