Khurshied Saleh, Shah Hira G, Abdul Malik Wafa, Maqbool Aunaza, Hussain Khadija, Zahid Muhammad A
Otolaryngology - Head and Neck Surgery, Pakistan Institute of Medical Sciences, Islamabad, PAK.
Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi, PAK.
Cureus. 2025 Feb 14;17(2):e79004. doi: 10.7759/cureus.79004. eCollection 2025 Feb.
Introduction The orbital tissues of the eye can be affected by infections, a serious clinical illness that can have potentially fatal consequences. The study aimed to identify the demographic data, the categories of orbital infections based on Chandler's classification, and the underlying causes of orbital infections to ascertain the characteristics of patients admitted with orbital infections. We also looked at the management practices and their results. Materials and methods The Department of ENT - Head and Neck Surgery at the Pakistan Institute of Medical Sciences Hospital in Islamabad was the chosen site of this retrospective study. A total of 63 patients were included in the study. Data including patients' age, gender, type of orbital infection, inciting cause, management carried out, and treatment success were extracted from their discharge forms between January 2022 and December 2024. Following statistical analysis, the information collected was presented as tables and figures. Results Out of the total, 40 (63.49%) patients were female. The median age of patients was 34.5 years. Most patients were diagnosed with subperiosteal abscesses (33, 52.38%). The most common cause was sinusitis, which was present in 41 (65.07%) patients. Out of the total, 47 (74.60%) patients were successfully managed conservatively using broad-spectrum antibiotics and symptomatic treatment, and 12 (19.05%) underwent surgical intervention to drain the abscess. Conclusions The orbital infections were most common in middle-aged female patients, with subperiosteal abscess being the most common type. Sinusitis was the most common cause. Most patients were managed successfully with intravenous antibiotics, with few needing surgical intervention.
引言 眼部的眶组织可受到感染影响，这是一种严重的临床疾病，可能产生潜在的致命后果。本研究旨在确定人口统计学数据、基于钱德勒分类法的眶感染类别以及眶感染的潜在病因，以明确因眶感染入院患者的特征。我们还研究了管理措施及其结果。
材料与方法 本回顾性研究选取了伊斯兰堡巴基斯坦医学科学研究所医院的耳鼻喉 - 头颈外科。共有63例患者纳入研究。从2022年1月至2024年12月期间的出院记录中提取患者的年龄、性别、眶感染类型、诱发原因、采取的管理措施及治疗效果等数据。经过统计分析后，收集到的信息以表格和图表形式呈现。
结果 总共40例（63.49%）患者为女性。患者的中位年龄为34.5岁。大多数患者被诊断为骨膜下脓肿（33例，52.38%）。最常见的病因是鼻窦炎，41例（65.07%）患者存在该病因。总共47例（74.60%）患者通过使用广谱抗生素和对症治疗成功保守治疗；12例（19.05%）患者接受了手术干预以引流脓肿。
结论 眶感染在中年女性患者中最为常见，骨膜下脓肿是最常见的类型。鼻窦炎是最常见的病因。大多数患者通过静脉使用抗生素成功治疗，少数患者需要手术干预。
