Done by :
Dr. Fadi Fouad Hassanin
Umm 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.chemosis
3-Dec. vision
4-Elevated IOP
5-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:
ER
1-Medical Care:
Antibiotic
2-Surgical Care
Complications
1- Cavernous sinus
thrombosis
2-Hearning loss
3- Septicemia
4-Meningitis
5-Optic nerve damage
&loss of vision
Thank You