Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 9-10/2019

29.10.2018 | original article

Epidemiological characteristics of orbital cellulitis among adult population in the Split region, Croatia

verfasst von: MD, PhD Prof. Milan Ivanišević, Petar Ivanišević, Mladen Lešin

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 9-10/2019

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Background

There are few diseases in ophthalmology which could have a fatal outcome, one of them is orbital cellulitis. The aim of this article is to give epidemiological analysis of orbital cellulitis in adult patients in the Split region, Croatia.

Methods

The study was based on a retrospective review of medical records of 53 adult patients with orbital cellulitis treated during the period of 26 years from 1991 to 2016 at the Department of Ophthalmology in the University Hospital of Split.

Results

The incidence of orbital cellulitis in adults in the Split region was 0.57. The mean age of the patients was 53.5 ± 19.0 years. Patients were male in 47.2% of the cases and female in 52.8%. The distribution of orbital cellulitis according to seasons shows that it was most common during winter with 20 (37.7%) and in autumn with 16 (30.2%) cases and less frequent in summer with 6 (11.3%) and in spring 11 (20.8%) cases. The most common cause of orbital cellulitis was sinusitis in 33 (62.2%) patients. In total, there were 16 (30.2%) surgical interventions.

Conclusions

Orbital cellulitis in adult patients is a relatively rare disease but with a possible fatal ending and damage to vision. It should be diagnosed quickly and treated adequately, very often in cooperation of an ophthalmologist with an otorhinolaryngologist and a maxillofacial surgeon. Orbital cellulitis appears to be more common in colder months, because sinusitis occurred more often then. It is treated with adequate antibiotic application but in almost one third of cases a surgical intervention was necessary.
Literatur
1.
Zurück zum Zitat Schramm VL Jr, Curtin HD, Kennerdell JS. Evaluation of orbital cellulitis and results of treatment. Laryngoscope. 1982;92(7 Pt 1):732–8. CrossRef Schramm VL Jr, Curtin HD, Kennerdell JS. Evaluation of orbital cellulitis and results of treatment. Laryngoscope. 1982;92(7 Pt 1):732–8. CrossRef
2.
Zurück zum Zitat Jackson K, Baker SR. Periorbital cellulitis. Head Neck Surg. 1987;9(4):227–34. CrossRef Jackson K, Baker SR. Periorbital cellulitis. Head Neck Surg. 1987;9(4):227–34. CrossRef
3.
Zurück zum Zitat Liu IT, Kao SC, Wang AG, Tsai CC, Liang CK, Hsu WM. Preseptal and orbital cellulitis: a 10-year review of hospitalized patients. J Chin Med Assoc. 2006;69(9):415–22. CrossRef Liu IT, Kao SC, Wang AG, Tsai CC, Liang CK, Hsu WM. Preseptal and orbital cellulitis: a 10-year review of hospitalized patients. J Chin Med Assoc. 2006;69(9):415–22. CrossRef
4.
Zurück zum Zitat Pandian DG, Babu RK, Chaitra A, Anjali A, Rao VA, Srinivasan R. Nine years’ review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococcus aureus in a tertiary hospital in India. Indian J Ophthalmol. 2011;59(6):431–5. CrossRef Pandian DG, Babu RK, Chaitra A, Anjali A, Rao VA, Srinivasan R. Nine years’ review on preseptal and orbital cellulitis and emergence of community-acquired methicillin-resistant Staphylococcus aureus in a tertiary hospital in India. Indian J Ophthalmol. 2011;59(6):431–5. CrossRef
5.
Zurück zum Zitat Gamble RC. Acute inflammations of the orbit in children. Arch Ophthalmol. 1933;10(4):483–97. CrossRef Gamble RC. Acute inflammations of the orbit in children. Arch Ophthalmol. 1933;10(4):483–97. CrossRef
6.
Zurück zum Zitat Duke-Elder S, MacFaul PA. The ocular adnexa: part 2. Lacrimal orbital and para orbital diseases. In: Duke-Elder S, editor. System of Ophthalmology. London: Henry Kimpton; 1974. pp. 859–89. Duke-Elder S, MacFaul PA. The ocular adnexa: part 2. Lacrimal orbital and para orbital diseases. In: Duke-Elder S, editor. System of Ophthalmology. London: Henry Kimpton; 1974. pp. 859–89.
7.
Zurück zum Zitat Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80(9):1414–28. CrossRef Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80(9):1414–28. CrossRef
8.
Zurück zum Zitat Havener WH. Orbital cellulitis: a case report on preventable blindness. Ohio Med J. 1959;55:1389–91. Havener WH. Orbital cellulitis: a case report on preventable blindness. Ohio Med J. 1959;55:1389–91.
9.
Zurück zum Zitat Smith AT, Spencer JT. Orbital complications resulting from lesions of sinuses. Ann Otol Rhinol Laryngol. 1948;57(1):5–27. CrossRef Smith AT, Spencer JT. Orbital complications resulting from lesions of sinuses. Ann Otol Rhinol Laryngol. 1948;57(1):5–27. CrossRef
11.
Zurück zum Zitat Ebright JR, Pace MT, Niazi AF. Septic thrombosis of the cavernous sinuses. Arch Intern Med. 2001;161(22):2671–6. CrossRef Ebright JR, Pace MT, Niazi AF. Septic thrombosis of the cavernous sinuses. Arch Intern Med. 2001;161(22):2671–6. CrossRef
12.
Zurück zum Zitat Pereira FJ, Velasco e CAA, Anselmo-Lima WT, Júnior EJ. Computed tomographic patterns of orbital cellulitis due to sinusistis. Arq Bras Oftalmol. 2006;69(4):513–8. CrossRef Pereira FJ, Velasco e CAA, Anselmo-Lima WT, Júnior EJ. Computed tomographic patterns of orbital cellulitis due to sinusistis. Arq Bras Oftalmol. 2006;69(4):513–8. CrossRef
13.
Zurück zum Zitat Balogun BG, Balogun MM, Adekoya BJ. Orbital cellulitis: clinical course and management challenges. The Lagos state university teaching hospital experience. Nig Q J Hosp Med. 2012;22(4):231–5. PubMed Balogun BG, Balogun MM, Adekoya BJ. Orbital cellulitis: clinical course and management challenges. The Lagos state university teaching hospital experience. Nig Q J Hosp Med. 2012;22(4):231–5. PubMed
14.
Zurück zum Zitat Murphy C, Livingstone I, Foot B, Muratroyd H, MacEwen CJ. Orbital cellulitis in Scotland: current incidence, aetiology, management and outcomes. Br J Ophthalmol. 2014;98(11):1575–8. CrossRef Murphy C, Livingstone I, Foot B, Muratroyd H, MacEwen CJ. Orbital cellulitis in Scotland: current incidence, aetiology, management and outcomes. Br J Ophthalmol. 2014;98(11):1575–8. CrossRef
15.
Zurück zum Zitat Državni zavod za statistiku Republike Hrvatske. Popis stanovništva u Hrvatskoj 2011. Splitsko-dalmatinska županija. 2011. Državni zavod za statistiku Republike Hrvatske. Popis stanovništva u Hrvatskoj 2011. Splitsko-dalmatinska županija. 2011.
16.
Zurück zum Zitat Seah LL, Fu ER. Acute orbital cellulitis—a review of 17 cases. Ann Acad Med Singapore. 1997;26(4):409–14. PubMed Seah LL, Fu ER. Acute orbital cellulitis—a review of 17 cases. Ann Acad Med Singapore. 1997;26(4):409–14. PubMed
17.
Zurück zum Zitat Ferguson MP, McNab AA. Current treatment and outcome in orbital cellulitis. Aust N Z J Ophthalmol. 1999;27(6):375–9. CrossRef Ferguson MP, McNab AA. Current treatment and outcome in orbital cellulitis. Aust N Z J Ophthalmol. 1999;27(6):375–9. CrossRef
18.
Zurück zum Zitat Bagheri A, Tavakoli M, Aletaha M, Salour H, Ghaderpanah M. Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran. Int Ophthalmol. 2012;32(4):361–7. CrossRef Bagheri A, Tavakoli M, Aletaha M, Salour H, Ghaderpanah M. Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran. Int Ophthalmol. 2012;32(4):361–7. CrossRef
19.
Zurück zum Zitat Uy HS, Tuano PM. Preseptal and orbital cellulitis in a developing country. Orbit. 2007;26(1):33–7. CrossRef Uy HS, Tuano PM. Preseptal and orbital cellulitis in a developing country. Orbit. 2007;26(1):33–7. CrossRef
20.
Zurück zum Zitat Belghmaidi S, Belhoucha B, Hajji I, et al. Les cellulites orbitaires: étude prospective à propos de 75 cas. Pan Afr Med J. 2015;22:340–4. PubMedPubMedCentral Belghmaidi S, Belhoucha B, Hajji I, et al. Les cellulites orbitaires: étude prospective à propos de 75 cas. Pan Afr Med J. 2015;22:340–4. PubMedPubMedCentral
21.
Zurück zum Zitat Soroudi A, Casey R, Pan D, Baker R. An epidemiologic survey of orbital cellulitis. Invest Ophthalmol Vis Sci. 2003;44:786. Soroudi A, Casey R, Pan D, Baker R. An epidemiologic survey of orbital cellulitis. Invest Ophthalmol Vis Sci. 2003;44:786.
22.
Zurück zum Zitat Klossek JM, Neukirch F, Pribil C, et al. Prevalence of nasal polyposis in France: a cross-sectional, case-control study. Allergy. 2005;60(2):233–7. CrossRef Klossek JM, Neukirch F, Pribil C, et al. Prevalence of nasal polyposis in France: a cross-sectional, case-control study. Allergy. 2005;60(2):233–7. CrossRef
23.
Zurück zum Zitat Chen Y, Dales R, Lin M. The epidemiology of chronic rhinosinusitis in Canadians. Laryngoscope. 2003;113(7):1199–205. CrossRef Chen Y, Dales R, Lin M. The epidemiology of chronic rhinosinusitis in Canadians. Laryngoscope. 2003;113(7):1199–205. CrossRef
24.
Zurück zum Zitat Shashy RG, Moore EJ, Weaver A. Prevalence of the chronic sinusitis diagnosis in Olmsted County, Minnesota. Arch Otolaryngol Head Neck Surg. 2004;130(3):320–3. CrossRef Shashy RG, Moore EJ, Weaver A. Prevalence of the chronic sinusitis diagnosis in Olmsted County, Minnesota. Arch Otolaryngol Head Neck Surg. 2004;130(3):320–3. CrossRef
25.
Zurück zum Zitat Newton JR, Ah-See KW. A review of nasal polyposis. Ther Clin Risk Manag. 2008;4(2):507–12. CrossRef Newton JR, Ah-See KW. A review of nasal polyposis. Ther Clin Risk Manag. 2008;4(2):507–12. CrossRef
26.
Zurück zum Zitat Bergin DJ, Wright JE. Orbital cellulitis. Br J Ophthalmol. 1986;70(3):174–8. CrossRef Bergin DJ, Wright JE. Orbital cellulitis. Br J Ophthalmol. 1986;70(3):174–8. CrossRef
27.
Zurück zum Zitat Haynes RE, Cramblett HG. Acute ethmoiditis. Its relationship to orbital cellulitis. Am J Dis Child. 1967;114(3):261–7. CrossRef Haynes RE, Cramblett HG. Acute ethmoiditis. Its relationship to orbital cellulitis. Am J Dis Child. 1967;114(3):261–7. CrossRef
28.
Zurück zum Zitat Sobol SE, Marchand J, Tewfik TL, Manoukain JJ, Schloss MD. Orbital complications of sinusitis in children. J Otolaryngol. 2002;31(3):131–6. CrossRef Sobol SE, Marchand J, Tewfik TL, Manoukain JJ, Schloss MD. Orbital complications of sinusitis in children. J Otolaryngol. 2002;31(3):131–6. CrossRef
29.
Zurück zum Zitat Ayub H. Eyelid and orbital infections. In: Rumelt S, editor. Advances in Ophthalmology. London: InTech; 2012. pp. 499–520. Ayub H. Eyelid and orbital infections. In: Rumelt S, editor. Advances in Ophthalmology. London: InTech; 2012. pp. 499–520.
30.
Zurück zum Zitat Uhumwangho OM, Kayoma DH. Current trends in treatment outcomes of orbital cellulitis in a tertiary hospital in Southern Nigeria. Niger J Surg. 2016;22(2):107–10. CrossRef Uhumwangho OM, Kayoma DH. Current trends in treatment outcomes of orbital cellulitis in a tertiary hospital in Southern Nigeria. Niger J Surg. 2016;22(2):107–10. CrossRef
31.
Zurück zum Zitat Al-Madani MV, Khatatbeh AE, Rawashdeh RZ, Al-Khtoum NF, Shawagfeh NR. The prevalence of orbital complications among children and adults with acute rhinosinusitis. Braz J Otorhinolaryngol. 2013;79(6):716–9. CrossRef Al-Madani MV, Khatatbeh AE, Rawashdeh RZ, Al-Khtoum NF, Shawagfeh NR. The prevalence of orbital complications among children and adults with acute rhinosinusitis. Braz J Otorhinolaryngol. 2013;79(6):716–9. CrossRef
32.
Zurück zum Zitat Chaudhry IA, Al-Rashed W, Arat YO. The hot orbit: orbital cellulitis. Middle east Afr J Ophthalmol. 2012;19(1):34–42. CrossRef Chaudhry IA, Al-Rashed W, Arat YO. The hot orbit: orbital cellulitis. Middle east Afr J Ophthalmol. 2012;19(1):34–42. CrossRef
33.
Zurück zum Zitat Aldemir-Kocabaş B, Karbuz A, Özdemir H, Çiftçi E, Ince E. Periorbital and orbital cellulitis: from presentation to outcome. J Pediatr Inf. 2014;8(4):148–52. CrossRef Aldemir-Kocabaş B, Karbuz A, Özdemir H, Çiftçi E, Ince E. Periorbital and orbital cellulitis: from presentation to outcome. J Pediatr Inf. 2014;8(4):148–52. CrossRef
Metadaten
Titel
Epidemiological characteristics of orbital cellulitis among adult population in the Split region, Croatia
verfasst von
MD, PhD Prof. Milan Ivanišević
Petar Ivanišević
Mladen Lešin
Publikationsdatum
29.10.2018
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 9-10/2019
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-018-1402-4