Orbital cellulitis.

Jan 2012

[Article in French]

Mouriaux F, Rysanek B, Babin E, Cattoir V.

Source

Service d'ophtalmologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.

Abstract

Orbital cellulitis is uncommon in ophthalmologic practice. The majority of cases arise from direct spread of sinus infection or eyelid infection. Clinically, orbital cellulitis is divided into two forms: the preseptal form, anterior to the orbital septum, and the retroseptal form, posterior to the orbital septum. Management and prognosis differ widely between the two types. The retroseptal form or "true" orbital cellulitis is a severe disease with potentially disastrous consequences for vision and survival. Clinical examination and urgent CT scanning are indispensable for correct diagnosis, evaluation of severity, surgical planning and antibiotic selection.

EM/Consulte