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Management of orbital cellulitis: a retrospective study
, 1, 1
Affiliations- Ophthalmology B Department, Ibn Sina University Hospital, Rabat, Morocco
open access
Abstract
Background: Orbital cellulitis is an infectious involvement of the tissues posterior to the orbital septum causing
severe local and general complications.
Material and methods: The aim of our work was to study the clinical, paraclinical and therapeutic characteristics of orbital cellulitis through a retrospective study of 89 cases collected between 2015 and 2019. The diagnosis of orbital cellulitis was based on clinical and imaging elements.
Results: The average age was 17.5 years. Exophthalmos was noted in 33% of cases, ophthalmoplegia in 18% of cases, diplopia in 4.5% of cases and ocular hypertonia in 11% of cases. Orbital CT scan allowed the diagnosis of subperiosteal abscess in 20% of cases and orbital abscess in 10% of cases. Sinusitis was the main infectious origin in children, while dacryocystitis predominated in adults. All patients received parenteral antibiotherapy combined with corticotherapy after 48 hours. Complications occurred in 10 cases, dominated by exposure keratitis, panophthalmitis and optic atrophy with permanent blindness.
Conclusions: We emphasize the importance of rapid diagnosis and urgent treatment of orbital cellulitis.
Abstract
Background: Orbital cellulitis is an infectious involvement of the tissues posterior to the orbital septum causing
severe local and general complications.
Material and methods: The aim of our work was to study the clinical, paraclinical and therapeutic characteristics of orbital cellulitis through a retrospective study of 89 cases collected between 2015 and 2019. The diagnosis of orbital cellulitis was based on clinical and imaging elements.
Results: The average age was 17.5 years. Exophthalmos was noted in 33% of cases, ophthalmoplegia in 18% of cases, diplopia in 4.5% of cases and ocular hypertonia in 11% of cases. Orbital CT scan allowed the diagnosis of subperiosteal abscess in 20% of cases and orbital abscess in 10% of cases. Sinusitis was the main infectious origin in children, while dacryocystitis predominated in adults. All patients received parenteral antibiotherapy combined with corticotherapy after 48 hours. Complications occurred in 10 cases, dominated by exposure keratitis, panophthalmitis and optic atrophy with permanent blindness.
Conclusions: We emphasize the importance of rapid diagnosis and urgent treatment of orbital cellulitis.
Keywords
orbital cellulitis; management; complications; prognosis
About this articleTitle
Management of orbital cellulitis: a retrospective study
Journal
Issue
Vol 5 (2020): Continuous Publishing
Article type
Original paper
Pages
97-92
Published online
2020-09-18
Page views
513
Article views/downloads
787
DOI
Bibliographic record
Ophthalmol J 2020;5:97-92.
Keywords
orbital cellulitis
management
complications
prognosis
Authors
Imane Chabbar
Abdallah Elhassan
Amina Berraho
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