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A 39-year-old man with painful proptosis after dental extraction
Digital Journal of Ophthalmology 2008
Volume 14, Number 4
February 7, 2008
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Brett Kotlus | Allure Medical Spa
Veena Kumar | Maxwell Aesthetic Surgery
Robert Cravens | Tucson Ear Nose and Throat
Robert Dryden | Arizona Centre Plastic Surgery



History
A 39-year-old man presented to the emergency department complaining of decreased vision in the left eye accompanied by pain and swelling of the periocular area. Seven days earlier, he underwent surgical dental extraction of a right mandibular molar for treatment of a dental abscess. Three days after the dental procedure he experienced edema of the left upper and lower eyelids, and was instructed by a primary care physician to discontinue his oral penicillin and initiate oral prednisone 20 milligrams daily for a presumed ‘allergic reaction’.
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