We report a case of a 7-year-old girl who initially presented with painless right eyelid swelling with full extra-ocular movement (EOM). She was treated with intravenous broad-spectrum antibiotics for preseptal cellulitis but her condition worsened. An urgent magnetic resonance imaging (MRI) of the brain and orbit showed orbital abscess, subperiosteal abscess in the medial orbital wall and evidence of sinusitis in the anterior ethmoidal air cells. She underwent Endoscopic Orbital Decompression (EOD) surgery on day 4 of presentation and her condition improved remarkably. We report a case of orbital abscess with subperiosteal abscess in the medial orbital wall. This case highlights the possibility of progression of orbital cellulitis despite administration of a broad-spectrum antibiotic.
Orbital Cellulitis

Orbital cellulitis is a potential blinding condition resulting from infection of the orbital contents, including the optic nerve. It may be fatal in cases with extension into the optic canal and subsequently the brain. Common aetiologies include extension of infection from paranasal sinusitis or preseptal cellulitis. This case report depicts the unusual occurrence of orbital cellulitis following a trivial superficial conjunctiva laceration wound from a motor-vehicle accident. Aggressive treatment with systemic antibiotics resulted in good visual outcome. All wound on or around the globe must be diligently treated to prevent such detrimental complication.
Orbital Cellulitis

No abstract available.
Orbit* ; Orbital Cellulitis*

The authors experienced a case of retinoblastoma in a two-year-old female who had recurrent hyphema and marked erythematous lid swelling. We treated her for orbital cellulitis and hyphema, but those lesions were not improved. Finally, we performed enucleation for confirming the etiology of a disease which was pathologically proven to be retinoblastoma.
Female ; Humans ; Hyphema* ; Orbit* ; Orbital Cellulitis* ; Retinoblastoma*

A 43 year-old man presented with pain on the right tooth for three days duration. Computed tomography showed left orbital cellulitis and right parapharyngeal abscess. There was also evidence suggestive of a dental abscess over right upper alveolar region. Magnetic resonance imaging revealed left superior ophthalmic vein thrombosis. Emergency drainage of the right parapharyngeal abscess was performed. Right maxillary molar extraction revealed periapical abscess. Left eye proptosis markedly reduced after initiating heparin.
Abscess ; Orbital cellulitis ; Carbon ion ; Ipsilateral ; Contralateral

No abstract available.
Compressed Air* ; Explosions* ; Orbit* ; Orbital Cellulitis*

Authors have experienced a case of long standing chronic gonorrheal orbital cellulitis in a 50 years old Korean male. Surgical evacuation of pus discharges and microscopcially confirmed the gram negative intncellular and extracellular gonococcus. A brief review of the related literatures is present.
Humans ; Male ; Middle Aged ; Neisseria gonorrhoeae ; Orbit* ; Orbital Cellulitis* ; Suppuration

Acute orbital cellulitis is most commonly caused by sinusitis. This complication is based on the anatomy of sinuses, orbit, and their venous connections. We have experienced a case of acute orbital cellulitis combined Subdural abscess due to maxillay sinusitis in a 14-year-old girl. Rapid Surgical drainage in the both upper lid and forehead and craniectomy resulted in complete recovery.
Abscess* ; Adolescent ; Drainage ; Female ; Forehead ; Humans ; Orbit* ; Orbital Cellulitis* ; Sinusitis

To evaluate the differences in clinical features of rhinosinogenic orbital complications between the pediatric and adult groups, a multicenter survey was made on 79 cases of rhinogenic orbital complications (from January 1985 through October 1999). The patients ranged in age between 8 months and 79 years with a mean of 28 years. Thirty-five patients were under 15 years of age (pediatric group), and 44 patients were over 15 years of age (adult group). Twenty-three of 35 pediatric patients (65.7%) had postseptal orbital inflammation, whereas 30 of 44 adult patients (68.2%) had postseptal orbital inflammation. The pediatric group had shorter symptom duration than the adult group. Pediatric OCRS also developed as various forms-inflammatory edema, orbital cellulitis, orbital abscess and subperiosteal abscess. Sixteen of 35 pediatric patients (45.7%) underwent surgical interventions. The cure rate by surgical interventions in the pediatric group (14/16, 87.4%) was higher than that in the adult group (21/26, 80.8%). The cure rate by medical treatment in the pediatric group (18/19, 94.7%) was also higher than that in the adult group (11/16, 68.7%).
Abscess ; Adult ; Edema ; Humans ; Inflammation ; Orbit* ; Orbital Cellulitis

OBJECTIVE: To describe the clinical features, causative agents, management practices, and outcomes of preseptal and orbital cellulitis at a tertiary-care center in a developing country. METHODS: This is a retrospective case series of preseptal and orbital cellulitis seen at the Orbit Clinic of the Philippine General Hospital from January 1990 to December 1995. The medical records were reviewed and the following data obtained: age, gender, manner of disease presentation, causative agent, medical interventions, and outcomes. RESULTS: Fifty-six patients with preseptal cellulitis and 35 with orbital cellulitis were identified. Among the patients with preseptal cellulitis, the mean age at presentation was 12.6 +/- 17.0 years. No gender predilection was observed. The most common presenting signs were lid swelling (all patients), eye redness (34 %), fever (29%), and eye discharge (27 %). Bilateral involvement occurred in 9 patients. Among those with orbital cellulitis, 25 were classified as orbital cellulitis, 5 as orbital abscess, and 5 as cavernous sinus thrombosis. There were slightly more females than males (1.3:1). The mean age at presentation was 17.1 +/- 18.6 years. The most common symptoms were lid swelling (94 %), ophthalmoplegia (89 %), chemosis (77%), proptosis (71%), and decreased vision (51%). Both conditions were associated with antecedent infectious conditions such as skin and lid infection, sinusitis, dental abscess, respiratory-tract infection, and trauma. Staphylococcus was the most common organism isolated. The most common initial antibiotics used were beta-lactamase-resistant penicillins. Other antibiotics were added based on clinical response and microbial studies. Orbital cellulitis was associated with sight threatening complications such as glaucoma, retinal vascular occlusion, exposure keratitis, and optic-nerve compression. CONCLUSIONS: The etiology of preseptal and orbital cellulitis in this series differs from that in developed countries. Preseptal and orbital cellulitis should be distinguished early so that proper management can be instituted. Orbital cellulitis is associated with greater mortality and morbidity. CT scan and microbial studies are invaluable for appropriate diagnosis and management of orbital cellulitis.
Human ; Male ; Female ; Young Adult ; Adolescent ; ORBITAL CELLULITIS ; CASE REPORTS ;