Abstract
To evaluate the demographic and clinical features of orbital cellulitis (OC) and preseptal cellulitis (PC) in a tertiary eye hospital over a 10-year period. This is a retrospective study of files of patients defined as OC or PC admitted to Labbafinejad Hospital, Tehran, Iran, in which clinical specificities and results of treatment and complications were reviewed. A total of 93 records of patients with OC or PC were identified from 1997 to 2007. 42 % of the patients had orbital and 58 % had PC. OC was found to be twice as common in males but PC occurred equally in both sexes. The mean ages ± SD of patients with OC and PC were 27.4 ± 23.9 and 19.1 ± 23.3 years, respectively. 97.8 % of involvements were unilateral. The most common complaint of the patients was change in lid appearance and the most common season of involvement was spring in both groups. Sinusitis was the most common background in 53.8 % of OC and 24.1 % of PC patients, and the sinus most commonly involved was the ethmoid. Surgical intervention was needed in 48.7 % of orbital and 14.8 % of PC. The only complication seen in OC was external ophthalmoplegia in a case which needed operation. In our geographical region, orbital and PC are seen most frequently in young patients in spring and their most common background is ethmoiditis; complications may be prevented by appropriate medical and/or surgical management.
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References
Wulk AE, Edmonson BC (2008) Orbital infections. In: Tasman W, Jaeger EA (eds) Duane’s clinical ophthalmology, revised edition. vol 2, Chap 34. Williams & Wilkins, Lippincott, pp 1967–1994
Uzcátegui N, Warman R, Smith A, Howard CW (1998) Clinical practice guidelines for the management of orbital cellulitis. J Pediatr Ophthalmol Strabismus 35(2):73–79 (quiz 110-1)
Jackson K, Baker SR (1987) Periorbital cellulitis. Head Neck Surg 9(4):227–234
Uy HS, Tuano PM (2007) Preseptal and orbital cellulitis in a developing country. Orbit 26(1):33–37
Chaudhry IA, Shamsi FA, Elzaridi E, Al-Rashed W, Al-Amri A, Al-Anezi F, Arat YO, Holck DE (2007) Outcome of treated orbital cellulitis in a tertiary eye care center in the Middle East. Ophthalmology 114(2):345–354
Bekibele CO, Onabanjo OA (2003) Orbital cellulitis: a review of 21 cases from Ibadan, Nigeria. Int J Clin Pract 57(1):14–16
Rodríguez Ferran L, Puigarnau Vallhonrat R, Fasheh Youssef W, Ribó Aristazábal J, Luaces Cubells C, Pou Fernández J (2000) Orbital and periorbital cellulitis. Review of 107 cases. An Esp Pediatr 53(6):567–572
Nageswaran S, Woods CR, Benjamin DK Jr, Givner LB, Shetty AK (2006) Orbital cellulitis in children. Pediatr Infect Dis J 25(8):695–699
Wane AM, Ba EA, Ndoye-Roth PA, Kameni A, Demedeiros ME, Dieng M, Ndiaye MR, Ndiaye PA, Ben Nasr S, Wade A (2005) Senegalese experience of orbital cellulitis. J Fr Ophtalmol 28(10):1089–1094
Jain A, Rubin PA (2001) Orbital cellulitis in children. Int Ophthalmol Clin 41(4):71–86
Oxford LE, McClay J (2005) Complications of acute sinusitis in children. Otolaryngol Head Neck Surg 133(1):32–37
Liu IT, Kao SC, Wang AG, Tsai CC, Liang CK, Hsu WM (2006) Preseptal and orbital cellulitis: a 10-year review of hospitalized patients. J Chin Med Assoc 69(9):415–422
Yang M, Quah BL, Seah LL, Looi A (2009) Orbital cellulitis in children-medical treatment versus surgical management. Orbit 28(2–3):124–136
Babar TF, Zaman M, Khan MN, Khan MD (2009) Risk factors of preseptal and orbital cellulitis. J Coll Physicians Surg Pak 19(1):39–42
Wilson ME, Paul TO (1987) Orbital cellulitis following strabismus surgery. Ophthalmic Surg 18(2):92–94
van der Borden J Jr, Steinmetz PA, Abraham-Inpijn L, Visser CE, Westerbeek HA (1989) Orbital cellulitis after a dental infection. Ned Tijdschr Tandheelkd 96(12):561–563 [Article in Dutch]
Starkey CR, Steele RW (2001) Medical management of orbital cellulitis. Pediatr Infect Dis J 20(10):1002–1005
Noël LP, Clarke WN, MacDonald N (1990) Clinical management of orbital cellulites in children. Can J Ophthalmol 25(1):11–16
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The authors would like to thank M. Yaseri, PhD for his major role in statistical analysis and M. Hadi Tavakoli, MSc and R. Beheshti Zavareh, PhD for their assistance in revising and English editing the manuscript.
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Bagheri, A., Tavakoli, M., Aletaha, M. et al. Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran. Int Ophthalmol 32, 361–367 (2012). https://doi.org/10.1007/s10792-012-9574-9
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DOI: https://doi.org/10.1007/s10792-012-9574-9