Alam Md Shahid, Backiavathy Varsha, Noronha Veena, Mukherjee Bipasha
Orbit, Oculoplasty, Aesthetic & Reconstructive Services, Aditya Birla Sankara Nethralaya, Kolkata, India.
Orbit, Oculoplasty, Aesthetic & Reconstructive Services, Sankara Nethralaya, Medical Research Foundation, Chennai, India.
Orbit. 2022 Dec;41(6):751-758. doi: 10.1080/01676830.2021.2013901. Epub 2022 Feb 23.
To study the clinical, microbiological profile and management outcomes of orbital abscess at a tertiary care center in South India.
In a retrospective interventional case series, we reviewed all patients diagnosed with orbital cellulitis from 2000-2020. The data analyzed included demographic profile, clinical and radiological features, microbiological profile, and management outcome.
A total of 921 cases of orbital and periorbital infections were reviewed. Seventy-two cases were diagnosed as orbital cellulitis. Thirty-four cases (47.22%) had radiological evidence of orbital abscess. The median age was 20.63 years. Three patients (8.82%) were neonates. A male preponderance was noted (23, 67.65%). Sinusitis (10, 29.41%) and diabetes (5, 14.7%), were the most common predisposing factors. Optic neuropathy was seen in 15 (44.11%) patients, cavernous sinus thrombosis in two patients (5.88%), and septicemia in one patient (2.94%) Multiple orbital abscesses were noted in 7 (20.59%) cases. All patients underwent surgical drainage. was the most common organism isolated in 14 patients (41.18%). Vision improvement or stabilization was seen in all except 3 (8.82%).
Orbital abscess is a potential sight-threatening orbital infection. The infective process can spread and ascend up to involve cavernous sinus thereby becoming life-threatening. A timely diagnosis and intervention can halt the disease process and help restore vision in many cases.
研究印度南部一家三级医疗中心眼眶脓肿的临床、微生物学特征及治疗结果。
在一项回顾性干预性病例系列研究中，我们回顾了2000年至2020年期间所有诊断为眼眶蜂窝织炎的患者。分析的数据包括人口统计学特征、临床和放射学特征、微生物学特征以及治疗结果。
共回顾了921例眼眶及眶周感染病例。72例被诊断为眼眶蜂窝织炎。34例（47.22%）有眼眶脓肿的放射学证据。中位年龄为20.63岁。3例患者（8.82%）为新生儿。男性占优势（23例，67.65%）。鼻窦炎（10例，29.41%）和糖尿病（5例，14.7%）是最常见的易感因素。15例（44.11%）患者出现视神经病变，2例（5.88%）患者出现海绵窦血栓形成，1例（2.94%）患者出现败血症。7例（20.59%）病例发现多个眼眶脓肿。所有患者均接受了手术引流。14例患者（41.18%）分离出的最常见病原体为 。除3例（8.82%）外，所有患者视力均有改善或稳定。
眼眶脓肿是一种潜在的威胁视力的眼眶感染。感染过程可扩散并向上累及海绵窦，从而危及生命。及时诊断和干预可阻止疾病进展，并在许多情况下有助于恢复视力。
