Orbital cellulitis

Done by: Dr. Fadi Fouad HassaninUmm Al-Qura University

Orbital cellulitis

Is an infection of the soft tissues of the orbit posterior to the orbital septum.

Cellulitis:Orbital Periorbital

Approach to orbital cellulitis:

1 -History:

Patient may present with: -fever

-malaise -a history of recent sinusitis or upper

respiratory tract infection.

2-Physical Examination:A Comprehensive HEENT EX .

1-vitals sign:fever

2- local examination of the eye: 1 -Proptosis and ophthalmoplegia

2 -Conj.chemosis3-Dec. vision

4-Elevated IOP5-Pain on eye movement

6-Orbital pain and tenderness

Causes:1-extension from periorbital structures ,

2-direct from trauma or surgery, or

3-hematogenous .

Causative Organisms:1-Bacterial Strep., S .aureus,

and Hib.2-Polymicrobial infection.

3-Fungal.

3-Invistagations:A-Lab:

1-CBC count: Leukocytosis with a shift to the left

2-blood cultures .3 -Swab from the nose

B-Imaging Studies:1-HR- CT scan with contrast infusion ,

2-MRI

4-Treatment:

ER1-Medical Care:

Antibiotic2-Surgical Care

Complications

1 -Cavernous sinus thrombosis

2-Hearning loss3 -Septicemia

4-Meningitis5-Optic nerve damage

&loss of vision

Thank You