Case

A 67 year old patient is admitted into your care with painful red swelling to the medial aspect of their eye (lateral nose) and elevated body temperature. The patient is blinking frequently and clearing tears from their eye.    

Question 1/2 - What do you think is going on?

Click on your selected option(s) below  (correct = 1, over-thinking = 2+)

Incorrect. The lacrimal gland is in the superolateral aspect of the orbit, while this patients injury is to the medial orbit. 

Incorrect. The oculomotor nerve innervates muscles controlling movement of the eyeball and eyelid, along with autonomic control of the pupil/lens of the eye.

Incorrect. The primary function of this muscle is intorsion (internal rotation of the eyeball), with secondary roles in the 'down and out' motion (i.e. depression and abduction).

Correct! The nasolacrimal duct is responsible for draining lacrimal gland secretions from the surface of the eye. Blockage would result in tears overflowing from the eye.

Incorrect. The frontal sinus secretions enter the nose directly, they do not transit the orbit