What Is Nose Cellulitis?

Orbital cellulitis is an acute infection of orbital soft tissues, and is an orbital disease that seriously endangers human health. If the patient is in critical condition or fails to get timely and reasonable diagnosis and treatment, it can cause the patient's vision to be lost or blind, and even endanger his life.

Basic Information

English name

orbital cellulitis

Visiting department

Ophthalmology

Common causes

After orbital trauma, paranasal sinusitis, dacryocystitis, eyelid and facial bloating

Common symptoms

Patients with eye pain, eyelid swelling, conjunctival congestion and edema, restricted eye movements, protruding eyes, etc.

Causes of orbital cellulitis

External cause

(1) After trauma around the orbit, contaminated foreign bodies, pathogenic bacteria in the skin surface around the eye, or conjunctival sac can enter the soft tissue of the orbit along the wound and cause acute infectious inflammation.

(2) Eye surgery can also be the cause of orbital cellulitis, such as orbital tumor resection and strabismus infections can cause orbital cellulitis.

Endogenous

(1) Paranasal sinusitis is the most common cause of orbital cellulitis.

(2) Dacryocystitis, eyelid and facial bloatedness.

(3) Systemic bacteremia, sepsis and acute infectious diseases.

(4) Orbital wall infection and subperiosteal abscess enter the soft tissue in the orbit through the ruptured periosteum.

Orbital cellulitis clinical manifestations

Eye symptoms

(1) The patient's eyes are swollen and painful, and sometimes the eyes may have severe pain; the patient's vision is reduced, and in severe cases, the vision can be lost.

(2) Eyelids are swollen and congestion is obvious. If a large pus cavity is formed, there is a sense of fluctuation on palpation.

(3) Conjunctival congestion and edema; in severe cases, the conjunctiva can protrude beyond the blepharoplasty.

(4) Eye movement is limited, and in severe cases, the eye can be fixed.

(5) Eyeballs protrude or shift to different degrees.

2. Systemic symptoms

When the condition is severe, symptoms of systemic poisoning such as fever, nausea, and vomiting may be indicated, suggesting that the condition is critical.

Orbital cellulitis

1. Orbital CT or MRI examination to determine the extent of the lesion and the presence or absence of abscesses.

2. Blood routine examination.

Orbital Cellulitis Treatment

1. Symptomatic treatment for the cause.

2. Apply a large number of broad-spectrum antibiotics throughout the body to actively control inflammation.

3. Use antibiotic eye drops on the eyes.

4. When a clear abscess formation is found on the ocular imaging examination, it is possible to cut open the abscess and place a drainage strip; at the same time, the pus is cultured and the drug sensitivity test is conducted to further guide the application of antibiotics.

Orbital cellulitis prognosis

If the patient sees the doctor promptly, the prognosis is generally good. However, for some people with poor constitutions, late visits, and extremely critical conditions, sometimes they can cause permanent vision loss, cavernous sinus thrombosis, or purulent meningitis and endanger life.