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Indian Journal of Clinical and Experimental Ophthalmology


Clinico-pathological study of orbital inflammatory diseases of infectious origin


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Author Details : Prasanna Jit Das, Abhisek Mondal*

Volume : 5, Issue : 1, Year : 2019

Article Page : 48-51


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Abstract

Introduction: Infection in the orbit and the periorbital tissues are particularly important subsets of inflammatory diseases not only because of frequency of presentation but also because of life threatening conditions which demand prompt, specific and therapeutic management. Of the orbital inflammation with infections most common aetiological factors encountered, are due to bacteria.
Materials and Methods: All patients with orbital signs and symptoms of inflammatory diseases of infectious origin were selected. Progression, symptoms, history of associated symptoms such as headache, fever, allergy etc. asked for. History of trauma, immunization and systemic illness, endocrinological disorders, infections of any systems and any dermatological disorders were taken into account. Local examination, ENT examination, laboratory and radiological investigations were done in all cases.
Results: Incidence of orbital infection is 0.34%. Male preponderance and maximum number of patients were adult. The maximum aetiological factor of orbital infection being due to infections of the ocular adnexae, sinusitis, dacryocystitis, post-surgical, and trauma. Raised IOP in 24%, proptosis in 34%, restricted ocular motility in 42%, mechanical ptosis in 70%, NLD block in 18%, Corneal oedema or opacity in 14% and inflammation of ocular adnexae in almost all cases. In majority of the cases the organism responsible is Pseudomonas aeuroginosa, then staphylococcus aureus.
Conclusion: Orbital infection is sight threatening and the pathognomic features and virulence of the causative organism is unpredictable. Early presentation appropriate diagnosis and judicious protocol if followed at an early stage would halt the morbidity and fatality.

Keywords: Clinicopathology, Infectious origin, Orbital cellulitis, Orbital inflammation, Preseptal cellulitis.

Doi : 10.18231/2395-1451.2019.0012

How to cite : Das P J, Mondal A, Clinico-pathological study of orbital inflammatory diseases of infectious origin. Indian J Clin Exp Ophthalmol 2019;5(1):48-51

Copyright © 2019 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)