Clinical Features of Orbital Cellulitis in Children.

Pak, Kang Yeun; Jung, Jae Ho; Choi, Hee Young

doi:2013.54.3.391

J Korean Ophthalmol Soc > Volume 54(3); 2013 > Article

Original Article

Journal of the Korean Ophthalmological Society 2013;54(3):391-395.
DOI: https://doi.org/10.3341/jkos.2013.54.3.391 Published online March 15, 2013.

Clinical Features of Orbital Cellulitis in Children.

Kang Yeun Pak, Jae Ho Jung, Hee Young Choi

Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. hychoi@pusan.ac.kr

소아 안와연조직염 환자의 임상 특징

박강윤⋅정재호⋅최희영

Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea

Abstract

PURPOSE
The present study reviews the clinical features of orbital cellulitis in childhood for early diagnosis and proper treatment. METHODS: The authors performed a retrospective study by computed tomography (CT) on children under 14 years of age diagnosed with orbital cellulitis and admitted to Pusan National University Hospital from 2003 to 2010. RESULTS: In total, 27 patients were identified (range 4 months to 14 years). Periorbital swelling was the most common initiating symptom, followed by fever and conjunctival injection. Paranasal sinus disease was the most common predisposing factor. Preseptal cellulitis was the most common finding, followed by subperiosteal abscess, orbital cellulitis, and orbital abscess. All patients underwent a blood culture; none were positive. Intravenous antibiotics therapy was performed empirically and was effective in all cases. No patients suffered from permanent complications except recurrence. CONCLUSIONS: Orbital cellulitis in children presents with periorbital swelling, fever, conjunctival injection in association with sinusitis, and upper respiratory infection (URI). A CT study is a reliable diagnostic option for the early detection and localization in the pediatric orbital cellulitis. Early empirical antibiotic therapy is mandatory for successful treatment.

Key Words: Orbit;Orbital cellulitis;Preseptal cellulitis