Pain On Eye Movements in Surgery — 10yo Child | ENT | SMLE Q#12558

SMLE Question #12558

Surgery ENT

Objective: OBJ-ENT-POSTOP-BLEED

Last updated: February 2026
A 10-year-old boy has 5 days of high fever, purulent nasal discharge, and worsening frontal headache. Over the last 24 hours, he developed left periorbital pain and swelling with pain on eye movements. Examination shows frontal sinus tenderness, restricted left extraocular movements, and mild proptosis. There is no history of trauma. What is the most appropriate next step in management?

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