Clinical Approach in Orbital Cellulitis Cases: Case Series

Pur po se: To evaluate the etiological factors, diagnosis, follow-up and treatment procedures in cases of orbital cellulitis.\udMa te ri al and Met hod: A retrospective review was performed on medical records of patients with orbital cellulitis treated between\ud2009 and 2011 in our clinic. The patients were studied for age, ophthalmologic examination features, laboratory and radiology results,\udtreatment modalities and the response to these treatments.\udRe sults: Eleven patients (7 male, 4 female) having an average age of 9.7 years (6 months-25 years) participated in the study. All\udpatients had eyelid oedema, hyperemia and ocular pain; with chemosis in 3, gaze restriction in 6, relative afferent pupillary defect and\udproptosis in 4 cases. Orbital cellulitis was observed to occur secondary to paranasal sinusitis in 10 patients (90.9%) and 1 patient had\udonly history of superior respiratory tract infection. Sinus infection was localized in ethmoid and maxillary sinuses in all except one case.\udLaboratory tests showed leukocytosis in 8 patients. Surgical drainage was performed in 7 of 8 patients with abscess formation observed\udwith radiological imaging. The remainder of the patients were followed with sole medical treatment. All patients recovered without\udany vision loss or life-threatening complication.\udDis cus si on: Orbital cellulitis cases must be followed with radiologic imaging for any complication that may occur and patients with\udabscess should be evaluated for surgical drainage besides antimicrobial treatment.(Turk J Ophthalmol 2012; 42: 284-7