[Orbital complication of acute sinusitis : Orbital cellulitis in a 10-year-old child]

Ophthalmologe. 2017 Apr;114(4):365-369. doi: 10.1007/s00347-016-0296-7.
[Article in German]

Abstract

Bacterial orbital cellulitis is a life-threatening infection of the postseptal orbital tissue. It can occur in the context of sinusitis, particularly in children and adolescents. Ocular complications include exposure keratopathy, increased intraocular pressure, occlusion of the central retinal artery or vein and optic neuropathy. Rarely, a subperiosteal abscess can occur, and osteomyelitis can lead to spread of the infection to the cerebrum. A rapid diagnosis and targeted therapy are essential for saving the eye as well as the life of the patient.

Keywords: Complication; Optic neuropathy; Orbital cellulitis; Osteomyelitis; Sinusitis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / therapy*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Orbital Cellulitis / diagnosis
  • Orbital Cellulitis / etiology*
  • Orbital Cellulitis / therapy*
  • Sinusitis / complications*
  • Sinusitis / diagnosis
  • Sinusitis / therapy*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents