Sinüzit Sonucu Gelişen Subperiostal Orbital Apse ve Frontal Epidural Apse: Olgu Sunumu

A seventeen-year-old girl was admitted to our clinic with complaint of rubor, swelling, and pain on the left upper eyelid. Her medical\udhistory revealed that she had received high-dose oral steroid treatment for one week for the diagnosis of acute angioedema in another\udclinic. On ophthalmologic examination, her left upper eyelid had edema, swelling, and hyperemia. Additionally, she had restriction\udin up-gaze in the left eye. Her best-corrected visual acuity was 0.7. The patient’s computerized tomography revealed ethmoidal,\udmaxillary and frontal sinusitis, as well as subperiostal orbital abscess, and frontal epidural abscess. Intravenous antibiotic treatment\udhas been arranged. Due to persistence of the clinical signs, surgical drainage of the abscesses has been performed. Following, she\udhas been discharged from the hospital on oral antibiotic treatment. Postoperatively, at the first-month visit, the left eye’s up-gaze\udrestriction was recovered, and visual acuity was improved to 1.0. If a patient presents with eyelid swelling, differential diagnosis\udshould be performed carefully before making the decision to start steroid treatment. Sinusitis, which is seen frequently in clinical\udpractice, should be kept in mind due to its potential to cause orbital abscess, epidural abscess, and intracranial complications. (Turk\udJ Ophthalmol 2013; 43: 464-