Outcome of Treated Orbital Cellulitis in a Tertiary Eye Care Center in the Middle East

Chaudhry, Imtiaz A.; Shamsi, Farrukh A.; Elzaridi, Elsanusi; Al-Rashed, Waleed; Alamri, Abdulrahman; Al-Anezi, Fahad; Arat, Yonca Özkan; Holck, David E. E.

doi:10.1016/j.ophtha.2006.07.059

Cited by 144 publications

(206 citation statements)

References 29 publications

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“…3. The mean age in the studies in Saudi Arabia, Senegal, and Nigeria were 25.7, 18, and 13 years, respectively, similar to our results [5,6,9]. In the report by Nageswaran et al [8] 73 % of OC patients suffered from proptosis, ophthalmoplegia, or both.…”

Section: Discussionsupporting

confidence: 89%

“…The most commonly involved sinus was the ethmoid sinus followed by the maxillary sinus. Similar results have been reported by several authors [4,5,8,12,13]. In one study conducted for evaluation of risk factors of orbital and PC in Pakistan, the patients were divided into two groups: group I included patients aged 6-16 years and group II included ages 17-40 years.…”

Section: Discussionsupporting

confidence: 71%

“…The ratio of male to female was 1.2 in the PC group and 2.2 in the OC group [4], very similar to our series in which this ratio was 1.15 and 2 in the PC and OC groups, respectively. The gender ratio of OC in a 15-year epidemiologic study in Saudi Arabia was estimated to be about 1.65 and in another study in Nigeria it was estimated to be about 2, although in a similar study from Spain no significant difference was reported between the two genders [5][6][7]. In addition, in a 10-year study in the US regarding OC in children the prevalence of OC among boys was 2.7 times more than girls [8].…”

Section: Discussionmentioning

confidence: 86%

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Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

et al. 2012

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To evaluate the demographic and clinical features of orbital cellulitis (OC) and preseptal cellulitis (PC) in a tertiary eye hospital over a 10-year period. This is a retrospective study of files of patients defined as OC or PC admitted to Labbafinejad Hospital, Tehran, Iran, in which clinical specificities and results of treatment and complications were reviewed. A total of 93 records of patients with OC or PC were identified from 1997 to 2007. 42 % of the patients had orbital and 58 % had PC. OC was found to be twice as common in males but PC occurred equally in both sexes. The mean ages ± SD of patients with OC and PC were 27.4 ± 23.9 and 19.1 ± 23.3 years, respectively. 97.8 % of involvements were unilateral. The most common complaint of the patients was change in lid appearance and the most common season of involvement was spring in both groups. Sinusitis was the most common background in 53.8 % of OC and 24.1 % of PC patients, and the sinus most commonly involved was the ethmoid. Surgical intervention was needed in 48.7 % of orbital and 14.8 % of PC. The only complication seen in OC was external ophthalmoplegia in a case which needed operation. In our geographical region, orbital and PC are seen most frequently in young patients in spring and their most common background is ethmoiditis; complications may be prevented by appropriate medical and/or surgical management.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 86%

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Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

et al. 2012

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“…Similarly Choudhary et al in a study of 218 patients of orbital cellulitis, found sinusitis as the most common predisposing factor [6]. In our study 83.3 % patients presented with orbital cellulites as a complication of acute infective rhino sinusitis.…”

Section: Discussionsupporting

confidence: 79%

Clinical Presentation and Outcome of the Orbital Complications Due to Acute Infective Rhino Sinusitis

Gupta¹,

Goyal²,

Gupta³

2013

Indian J Otolaryngol Head Neck Surg

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To describe the clinical presentation and visual outcome of patients with orbital complications of acute infective rhino sinusitis. This is a retrospective case series of patients diagnosed with of orbital involvement due to acute infective rhino sinusitis, who presented to eye OPD between July 2007 and July 2009. The medical records were reviewed with particular emphasis on clinical presentation and management. Twelve patients with an average age of 40.3 years (range, 14-65 years) were studied. The most common presentating symptom was diminution of vision (66.6 %) followed by proptosis, ptosis (33.3 %) and globe displacement (16.6 %). The most common orbital complication noted was orbital cellulitis (83.3 %). Majority of the patients had multiple sinus involvement. Ethmoid sinus was the most common sinus involved (91.6 %). Surgical intervention was required in 75 % of patients. Three patients (25 %) were managed conservatively by intravenous antibiotics. This series highlights the risk of orbital involvement and visual loss in patients with para nasal sinusitis. Early diagnosis, aggressive medical and prompt surgical treatment by multidisciplinary approach can successfully treat the complications.

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“…However in rare cases, orbital cellulitis can be caused by an orbital pseudotumor. The clinical features of orbital cellulitis included proptosis, swelling of the eyelids, con-junctival chemosis, and limited ocular motility [7]. Infections can often spread from the ethmoid sinus as it is only separated from the orbit by the thin lamina papyracea.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Tolosa-Hunt Syndrome in the Emergency Department

Olsen¹,

Johnson²,

Castillo-Jorge³

et al. 2017

OJEM

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We describe herein a patient who presented with painful ophthalmoplegia and was ultimately diagnosed via magnetic imaging resonance studies and successfully treated for Tolosa-Hunt syndrome. Tolosa-Hunt syndrome is a rare, reversible and painful ophthalmoplegia characterized by recurrent unilateral orbital pain, ipsilateral oculomotor paralysis and prompt response to steroids. Specific criteria for its diagnosis exist and are discussed herein. Individuals affected may display signs of select cranial nerve palsies, ptosis, facial numbness, diplopia, midrosis, and proptosis. Appropriate recognition of the disease can allow for immediate intervention and thus decrease the length and severity of symptoms especially as symptoms may not spontaneously resolve without treatment which leads to unnecessary suffering through pain, anxiety, and decreased vision. We describe the case presentation and keys for diagnosis emergency medicine that physicians should know for this potentially devastating condition.

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Outcome of Treated Orbital Cellulitis in a Tertiary Eye Care Center in the Middle East

Cited by 144 publications

References 29 publications

Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

Clinical Presentation and Outcome of the Orbital Complications Due to Acute Infective Rhino Sinusitis

Diagnosis and Treatment of Tolosa-Hunt Syndrome in the Emergency Department

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