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A. Cheek, A. Song; Orbital Cellulitis: Clinical Features, Treatments, and Outcomes . Invest. Ophthalmol. Vis. Sci. 2006;47(13):1886.
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To review the clinical features, predisposing factors, treatments, and outcomes of patients with orbital cellulitis in a tertiary care center.
Retrospective study of 32 patients with orbital cellulitis evaluated by ophthalmologists in a tertiary care setting. Clinical presentations, concomitant medical illnesses including chronic sinusitis, diabetes, and immunosuppression, visual acuity, intraocular pressure, extraocular motility were evaluated. Supplemental CT images were used to document degree of sinus involvement.
Patients with optic nerve damage, markedly decreased ocular motility, and involvement of multiple sinuses required earlier surgical intervention. Patients with large subperiosteal abscesses underwent incision and drainage of the abscesses and sinuses in addition to receiving intravenous antibiotics. Patients with small abscesses recovered on medical therapy without surgical intervention. Those patients with diabetes and immunosuppression had more severe cellulitis if there was associated fungal infection.
Orbital abscesses associated with sinusitis may do well without surgical intervention, especially in patients with small abscesses and without concomitant fungal infection.
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