Clinical implications of orbital cellulitis

Published on May 1, 1986in Laryngoscope2.465
· DOI :10.1288/00005537-198605000-00018
Keith Jackson2
Estimated H-index: 2
(UM: University of Michigan),
Shan R. Baker46
Estimated H-index: 46
(UM: University of Michigan)
Sources
Abstract
Periorbital and orbital cellulitis are clearly two distinct disorders with different etiologies. Periorbital cellulitis is well-documented as a more common infectious process limited to the eyelids in the preseptal region. In contrast, orbital cellulitis represents a more severe, but less common, infection of the orbit posterior to the septum with or without subperiosteal abscess, orbital abscess, or cavernous sinus thrombosis. A retrospective review of the clinical and laboratory data of 137 cases of orbital and periorbital cellulitis was performed. Periorbital cellulitis was documented in 98 cases (71%), in contrast to orbital cellulitis which was noted in 39 (28%) patients. All patients with orbital cellulitis received intravenous antibiotics, however, surgical therapy was necessary for progression of orbital cellulitis in 49% of patients. The majority of patients underwent incision and drainage of an abscess in the orbit. Complications as a result of orbital cellulitis occurred in nine (23%) of the patients. A distinction is made between the clinical entity of periorbital cellulitis and orbital cellulitis. Separating these clinical entities on the basis of physical examination and radiographic studies is important because the medical and surgical management of these two disease processes is different.
📖 Papers frequently viewed together
673 Citations
154 Citations
134 Citations
References0
Newest
Cited By88
Newest
#2Noam YehudaiH-Index: 8
Last. Riyad Khnifes (Technion – Israel Institute of Technology)H-Index: 1
view all 5 authors...
Source
#1Sara A. Khan (RFUMS: Rosalind Franklin University of Medicine and Science)
#2Ahsen Hussain (Dal: Dalhousie University)H-Index: 2
Last. Paul O. Phelps (NorthShore University HealthSystem)H-Index: 4
view all 3 authors...
Source
Paediatric orbital cellulitis is a potential sight- and life-threatening condition. It is a serious infection in children that can result in significant complications, including blindness, cavernous sinus thrombosis, cerebral venous sinus thrombosis, meningitis, subdural empyema, and brain abscess. Of the patients with orbital cellulitis, 17% died from meningitis, and 20% of the survivors had permanent loss of vision. Therefore, the potential for sight- and life-threatening complications makes p...
Source
view all 6 authors...
Source
A 14-year-old boy presented with acute vision loss and swelling of the right eye. An anterior segment examination revealed a relative afferent pupillary defect, severe proptosis, and ophthalmoplegia in his right eye. The fundus examination revealed inferior hemicentral retinal artery occlusion. Although the authors proceeded with systemic medical treatment, the findings did not improve. An endoscopic orbital decompression was performed. With both medical and surgical treatment, the orbital cellu...
Source
#1Osama HamdiH-Index: 2
Last. Diego Preciado (GW: George Washington University)H-Index: 27
view all 4 authors...
Infectious sinusitis complications continue to be a frequent occurrence. These complications mostly occur in the orbital cavity or in the intracranial space. Most clinical reports indicate that, despite the near universal implementation of antipneumococcic conjugates vaccination, the incidence of these has been stable. The goals of this chapter will be to review the clinical manifestations of these infections, summarize the literature on best treatment practices, consider the effect of pneumococ...
Source
#1Basel Jabarin (TAU: Tel Aviv University)H-Index: 4
#2Tal Marom (TAU: Tel Aviv University)H-Index: 20
Last. Jacob Pitaro (TAU: Tel Aviv University)H-Index: 4
view all 5 authors...
Abstract Objectives To present the clinical course and management of pediatric orbital complications (OC) secondary to acute rhinosinusitis (ARS), focusing on subperiosteal orbital abscess (SPOA) in toddlers ( Methods A retrospective cohort study of all children with OC secondary to ARS admitted to a secondary medical center between 2005 and 2014 was conducted. Variables analyzed included age, gender, symptoms duration, previous antibiotic therapy, highest recorded temperature, physical and opht...
3 CitationsSource
#1Sara Branson (Emory University)H-Index: 2
#2Elysa A. McClinticH-Index: 3
Last. Yeatts Rp (Wake Forest University)H-Index: 4
view all 3 authors...
PURPOSE: To describe risk factors, clinical parameters, treatment, and prognosis for patients with septic cavernous sinus thrombosis presenting with orbital cellulitis. METHODS: Retrospective case series of 6 patients identified with septic cavernous sinus thrombosis and orbital cellulitis confirmed by magnetic resonance imaging at a tertiary care center from January 1980 to December 2016. Medical records were reviewed for demographics, risk factors, symptoms, etiology, radiographic diagnosis, c...
8 CitationsSource
Aim: Orbital tissue infections are common infections of childhood that can lead to severe complications. Herein, we aimed to evaluate the etiologic factors, diagnosis, follow-up, and treatment procedures in pediatric patients with orbital infections. Material and Methods: This study was performed retrospectively between January 2014 and December 2015 in Cerrahpasa Medical Faculty Pediatric Infectious Disease Unit. Patients were studied for age, ophthalmologic examination features, laboratory and...
2 CitationsSource
#1Karel D. CapekH-Index: 7
#2Derek M. CulnanH-Index: 4
Last. Stefan Trocme (Case Western Reserve University)H-Index: 1
view all 5 authors...
This chapter discusses eye pathology frequently seen in the burn unit. It begins with a discussion of the relevant anatomy and histology. Eye examination in the burn unit is described, along with tips particularly applicable to critically-ill patients in the intensive care unit. The spectrum commonly-observed ocular surface disease with associated histopathological findings is described along with the predictive value of early findings such as eyelid burns and singed eyelashes. Salient features ...
3 CitationsSource