2. Drug therapy
(1) systemic medication: ① orbital cellulitis should be treated with enough broad-spectrum antibiotics as soon as possible, corticosteroids should be used according to the condition, and cavernous sinus thrombosis should be treated according to the principle of sepsis. ② Inflammatory pseudotumor, using corticosteroids. ③ Systemic corticosteroids were used in the acute congestive period of ③TRID.
(2) Local medication: For those complicated with exposure keratitis, antibiotic eye drops and a large amount of eye ointment should be applied at night to protect the cornea. TRID patients, who are in good general condition and have stable eye position deviation for more than half a year, can be injected with botulinum toxin A locally into extraocular muscles.
3. Surgical therapy
(1) Orbital cellulitis, limited inflammation and suppuration can be cut and drained, but premature operation should be avoided.
(2) If inflammatory pseudotumor drugs and radiotherapy can't be controlled or recurrent attacks seriously threaten vision, surgical resection can be considered.
(3) Severe 3)TRID patients underwent orbital decompression.
(4) When conservative treatment of orbital vascular diseases is ineffective, surgical resection can be considered.
Special examination techniques, such as X-ray, orbital angiography, internal carotid angiography, ultrasound examination, computed tomography (CT) magnetic resonance imaging, can further determine the location, size and nature of the space-occupying lesions, and if necessary, directly take live tissue for pathological examination to obtain the final diagnosis. The treatment of orbital diseases depends on the nature of the lesions. Inflammatory diseases are mainly treated with antibiotics or corticosteroids. The early stage of orbital trauma is mainly to control bleeding, prevent infection, remove foreign bodies or dead bone fragments. If there is deformity in the later stage, orthopedic surgery can be performed.
Chinese medicine therapy: according to the principle of syndrome differentiation and treatment. For those with excessive heat toxicity, clear away heat and detoxify, use Ye Duyin and Huanglian Jiedu Decoction to test the prescription, and confirm that those with deficiency cold can replenish deficiency and dispel cold, and use Yanghe Decoction; Those with yin deficiency and internal heat should nourish yin and clear heat, and use Qinggu powder. People with deficiency of both qi and blood should benefit qi and nourish blood, and use Bazhen Decoction.