Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management
Introduction: Considering the little evidence regarding peri-orbital infections, this study was aimed to obtain information about the epidemiology, etiology, and management of orbital infections. Material and Methods: In this retrospective investigation, all patients with peri-orbital infection who...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2019-12-01
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| Series: | Regeneration, Reconstruction & Restoration |
| Subjects: | |
| Online Access: | http://journals.sbmu.ac.ir/tripleR/article/view/26606 |
| _version_ | 1818210897546444800 |
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| author | Dariush Hasheminia Navid Naghdi Sobhan Pourarz |
| author_facet | Dariush Hasheminia Navid Naghdi Sobhan Pourarz |
| author_sort | Dariush Hasheminia |
| collection | DOAJ |
| description | Introduction: Considering the little evidence regarding peri-orbital infections, this study was aimed to obtain information about the epidemiology, etiology, and management of orbital infections.
Material and Methods: In this retrospective investigation, all patients with peri-orbital infection who were hospitalized in a tertiary ophthalmologic center in AL-Zahra hospital, Isfahan, Iran from 2008 up to 2018 were identified. Documented data and radiographic images were extracted. The data regarding epidemiology, etiology and disease course was analyzed.
Results: Sixty nine patients (35 males, 34 females) with the age range between 3 months to 85 years were included. Preseptal cellulitis was recorded in 53 cases (76.8%) and orbital cellulitis was seen in 16 cases (23.2%), and the proportion of preseptal to orbital was 3.3 to 1. The mean duration of hospitalization in patients with preseptal cellulitis was 6.38 ±, 4.59 days and in patients with orbital cellulitis was 12.44 ±, 9.63 days. Most patients with preseptal cellulitis were treated by medication therapy (71.7%), while the orbital cellulitis were often treated by surgical procedures (56.2%). Sinusitis was the main cause of both preseptal and orbital cellulitis in all age groups, except infants under 1 year, which dacryocystitis was identified as primary factor.
Conclusions: The prevalence of peri-orbital infection was higher in children. The prevalence ratio of preseptal to orbital cellulitis was 3.3:1. The main etiologic factor was sinusitis. There is no agreement for the treatment modalities of peri-orbital infections and the timing of surgical intervention. Continuous evaluation of treatment course, both clinically and radiographically is important. Reassessment is recommended when improvement is not seen after 6-7 days of treatment. |
| first_indexed | 2024-12-12T05:23:54Z |
| format | Article |
| id | doaj.art-f1dc9dd98071482d972be7056c2a2458 |
| institution | Directory Open Access Journal |
| issn | 2476-5163 2476-5171 |
| language | English |
| last_indexed | 2024-12-12T05:23:54Z |
| publishDate | 2019-12-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Regeneration, Reconstruction & Restoration |
| spelling | doaj.art-f1dc9dd98071482d972be7056c2a24582022-12-22T00:36:33ZengShahid Beheshti University of Medical SciencesRegeneration, Reconstruction & Restoration2476-51632476-51712019-12-014414214710.22037/rrr.v4i1.2660613431Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and ManagementDariush HasheminiaNavid NaghdiSobhan PourarzIntroduction: Considering the little evidence regarding peri-orbital infections, this study was aimed to obtain information about the epidemiology, etiology, and management of orbital infections. Material and Methods: In this retrospective investigation, all patients with peri-orbital infection who were hospitalized in a tertiary ophthalmologic center in AL-Zahra hospital, Isfahan, Iran from 2008 up to 2018 were identified. Documented data and radiographic images were extracted. The data regarding epidemiology, etiology and disease course was analyzed. Results: Sixty nine patients (35 males, 34 females) with the age range between 3 months to 85 years were included. Preseptal cellulitis was recorded in 53 cases (76.8%) and orbital cellulitis was seen in 16 cases (23.2%), and the proportion of preseptal to orbital was 3.3 to 1. The mean duration of hospitalization in patients with preseptal cellulitis was 6.38 ±, 4.59 days and in patients with orbital cellulitis was 12.44 ±, 9.63 days. Most patients with preseptal cellulitis were treated by medication therapy (71.7%), while the orbital cellulitis were often treated by surgical procedures (56.2%). Sinusitis was the main cause of both preseptal and orbital cellulitis in all age groups, except infants under 1 year, which dacryocystitis was identified as primary factor. Conclusions: The prevalence of peri-orbital infection was higher in children. The prevalence ratio of preseptal to orbital cellulitis was 3.3:1. The main etiologic factor was sinusitis. There is no agreement for the treatment modalities of peri-orbital infections and the timing of surgical intervention. Continuous evaluation of treatment course, both clinically and radiographically is important. Reassessment is recommended when improvement is not seen after 6-7 days of treatment.http://journals.sbmu.ac.ir/tripleR/article/view/26606orbital abscessorbital cellulitispreseptal cellulitissinusitis |
| spellingShingle | Dariush Hasheminia Navid Naghdi Sobhan Pourarz Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management Regeneration, Reconstruction & Restoration orbital abscess orbital cellulitis preseptal cellulitis sinusitis |
| title | Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management |
| title_full | Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management |
| title_fullStr | Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management |
| title_full_unstemmed | Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management |
| title_short | Orbital and Preseptal Cellulitis: Epidemiology, Etiology, and Management |
| title_sort | orbital and preseptal cellulitis epidemiology etiology and management |
| topic | orbital abscess orbital cellulitis preseptal cellulitis sinusitis |
| url | http://journals.sbmu.ac.ir/tripleR/article/view/26606 |
| work_keys_str_mv | AT dariushhasheminia orbitalandpreseptalcellulitisepidemiologyetiologyandmanagement AT navidnaghdi orbitalandpreseptalcellulitisepidemiologyetiologyandmanagement AT sobhanpourarz orbitalandpreseptalcellulitisepidemiologyetiologyandmanagement |