Abstract
Preseptal and orbital cellulitis, both more common in the pediatric population, are important bacterial infections of the orbit. Preseptal cellulitis refers to infection anterior to the orbital septum, while orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum, involving the soft tissue and muscle in the confined bony orbit. It is important to differentiate these two entities as early diagnosis, aggressive medical treatment, and timely surgical intervention are important to avoid irreversible visual loss and intracranial spread in the case of orbital cellulitis. Periorbital necrotizing fasciitis, though rare, progresses rapidly and is associated with significant morbidity and mortality. Clinicians should be aware of characteristic features and act promptly to save life and vision.
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References
Chandler JR, Langenbrunner DJ, Steven ER. The pathogenesis of orbital complications in acute sinusitis. Laryngoscope. 1970;80:1414–28.
Chaudhry IA, Shamsi FA, Elzaridi E, et al. Outcome of treated orbital cellulitis in a tertiary eye care center in the Middle East. Ophthalmology. 2007;114(2):345–54.
Lessner A, Stern GA. Preseptal and orbital cellulitis. Infect Dis Clin North Am. 1992;6:933–52.
Howe L, Jones NS. Guidelines for the management of periorbital cellulitis/abscess. Clin Otolaryngol. 2004;29:725–8.
Israele V, Nelson JD. Periorbital and orbital cellulitis. Pediatr Infect Dis J. 1987;6:404–10.
Smith TF, O’Day D, et al. Clinical implications of preseptal (periorbital) cellulitis in childhood. Pediatrics. 1978;62(6):1006–9.
Uzcategui N, Warman R. Clinical practice guidelines for the management of orbital cellulitis. J Pediatr Ophthalmol Strab. 1998;35(2):73–9.
Donahue SP, Schwartz G. Preseptal and orbital cellulitis in childhood. A changing microbiologic spectrum. Ophthalmology. 1998;105(10):1902–5.
Ambati BK, Ambati J. Periorbital and orbital cellulitis before and after the advent of Haemophilus influenzae type B vaccination. Ophthalmology. 2000;107(8):1450–3.
McKinley SH, Yen MT, Miller AM, Yen KG. Microbiology of pediatric orbital cellulitis. Am J Ophthalmol. 2007;144(4):497–501.
Mortimore S, Wormald PJ. The Groote Schuur hospital classification of the orbital complications of sinusitis. J LaryngolOtol. 1997;111(8):719–23.
Schmitt NJ, Beatty RL, et al. Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis. Ophthal Plast Reconstr Surg. 2005;21:387–9.
Yeh CH, Chen WC, et al. Intracranial brain abscess preceded by orbital cellulitis and sinusitis. J Craniofac Surg. 2010;21(3):934–6.
Cox NH, Knowles MA, et al. Pre-septal cellulitis and facial erysipelas due to Moraxella species. Clin Exp Dermatol. 1994;19:321–3.
Kikkawa DO, Heinz GW, et al. Orbital cellulitis and abscess secondary to dacryocystitis. Arch Ophthalmol. 2002;120(8):1096–9.
Molarte AB, Isenberg SJ. Periorbital cellulitis in infancy. J Pediatr Ophthalmol Strab. 1989;26:232–4.
Allen MV, Cohen KL, et al. Orbital cellulitis secondary to dacryocystitis following blepharoplasty. Ann Ophthalmol. 1985;17(8):498–9.
Weakley DR. Orbital cellulitis complicating strabismus surgery: a case report and review of the literature. Ann Ophthalmol. 1991;23(12):454–7.
Lopez PF, Marx J, et al. Endophthalmitis and orbital cellulitis after radial keratotomy. Ophthalmology. 1995;102(12):1902–7.
Hofbauer JD, Gordon LK, et al. Acute orbital cellulitis after peribulbar injection. Am J Ophthalmol. 1994;118:391.
Walinjkar J, Krishnakumar S, Gopal L, Ramesh A, Khetan V. Retinoblastoma presenting with orbital cellulitis. J AAPOS. 2013;17(3):282–6.
Proctor CM, Magrath GN, de Castro LE, Johnson JH, Teed RG. Orbital cellulitis complicated by central retinal artery occlusion. OphthalPlastReconstr Surg. 2013;29(2):e59–61.
Harris GJ. Subperiosteal abscess of the orbit. Arch Ophthalmol. 1983;101:751–7.
Jones DB, Steinkuller PG. Strategies for the initial management of acute preseptal and orbital cellulitis. Trans Am Ophthalmol Soc. 1988;86:94–108.
Brown CL, Graham SM. Nasal irrigations: good or bad? Curr Opin Otolaryngol Head Neck Surg. 2004;12:9–13.
Mygind N. Effects of corticosteroid therapy in non-allergic rhinosinusitis. Acta Otolaryngol. 1996;116:164–6.
Yen MT, Yen KG. Effect of corticosteroids in the acute management of pediatric orbital cellulitis with subperiosteal abscess. OphthalPlastReconstr Surg. 2005;21(5):363–6.
Pushker N, Tejwani LK, Bajaj MS, Khurana S, Velpandian T, Chandra M. Role of oral corticosteroids in orbital cellulitis. Am J Ophthalmol. 2013;156(1):178–83.
Garcia GH, Harris GJ. Criteria for nonsurgical management of subperiosteal abscess of the orbit: analysis of outcomes 1988–1998. Ophthalmology. 2000;107(8):1454–6.
Lazzeri D, Lazzeri S, Figus M, Tascini C, Bocci G, Colizzi L, Giannotti G, Lorenzetti F, Gandini D, Danesi R, Menichetti F, Del Tacca M, Nardi M, Pantaloni M. Periorbital necrotising fasciitis. Br J Ophthalmol. 2010;94(12):1577–85.
Amrith S, HosdurgaPai V, Wong W. Periorbital necrotizing fasciitis; a review. Acta Ophthalmol. 2013;91(7):596–603.
Seal DV. Necrotizing fasciitis. Curr Opin Infect Dis. 2001;14(2):127–32.
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Li, E.Ym., Yuen, H.KL. (2017). Diagnosis and Treatment of Bacterial Infections of the Orbit. In: Mukherjee, B., Yuen, H. (eds) Emergencies of the Orbit and Adnexa. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1807-4_33
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DOI: https://doi.org/10.1007/978-81-322-1807-4_33
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