Blindness resulting from orbital cellulitis following rhinoplasty

Lee, Kyung Mook; Han, Sang Chul; Ho, Samuel Y.M.; Kim, Jeong Tae; Kim, Youn Hwan

doi:10.1016/j.bjps.2013.01.012

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…In these instances, vancomycin and cefazolin have proven effective in controlling the in ammation [16]. If the disease still progresses, enucleation or evisceration surgery should be performed [17]. In our study, six cases in group 3 were treated with intravitreal injection (vancomycin and cefazolin), ve cases were treated with evisceration of the eye contents, two cases were treated with enucleation, and three cases were treated conservatively.…”

Section: Discussionmentioning

confidence: 80%

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Preprint

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Background: Adult orbital cellulitis (OC) occurs relatively rarely, and comprehensive studies that retrospectively evaluate OC are lacking. Here we aimed to examine the clinical characteristics and prognosis of OC in a tertiary general hospital. Methods: Between October 2010 and May 2019, patients presenting with clinical symptoms of OC in a tertiary general hospital were analyzed in this retrospective study. Twenty-six cases were identified for a detailed review. In these cases, 16 males and 10 females were diagnosed with orbital cellulitis by clinical characteristics and multimodal examinations. We divided patients into three groups: (1) patients secondary to rhinosinusitis, (2) patients secondary to endogenous infection(s) without endophthalmitis, and (3) patients secondary to endophthalmitis. For each group, the age, gender, eye type, combined systemic diseases, clinical presentation, leukocyte count, blood culture, diagnostic imaging, therapeutic methods, length of stay, time of post-operation, and patient prognosis were analyzed in detail. Results: There were no significant differences regarding age, gender, preoperative leukocyte count, exophthalmia, blood culture, treatment, or visual changes within the three groups (P>0.05). There were significant differences, however, in postoperative leukocyte count and ophthalmoplegia between the three groups (P<0.05). The preoperative and postoperative logarithm of the minimum resolution angle scored by the best-corrected visual acuity (LogMAR BCVA) of group 3 were statistically significant compared to group 1 and group 2 (P<0.05). Conclusion: We confirmed that the prognosis of OC patients combined with systemic diseases was poor; the visual outcome of OC secondary to endophthalmitis was more serious than that, secondary to sinusitis or endogenous infection without endophthalmitis. The level of leukocytes may indicate the condition of the disease.

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Section: Discussionmentioning

confidence: 80%

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In these instances, vancomycin and cefazolin have proven effective in controlling the inflammation [ 15 ]. If the disease still progresses, enucleation or evisceration surgery should be performed [ 16 ]. In our study, six cases in group 3 were treated with intravitreal injection (vancomycin and cefazolin), five cases were treated with evisceration of the eye contents, two cases were treated with enucleation, and three cases were treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Yao

Ding

Zhao

et al. 2020

Journal of Ophthalmology

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Purpose. Adult orbital cellulitis (OC) occurs relatively rarely, and comprehensive studies that retrospectively evaluate OC are lacking. Here, we aimed to examine the clinical characteristics and prognosis of OC in a tertiary general hospital. Methods. Between October 2010 and May 2019, patients presenting with clinical symptoms of OC in a tertiary general hospital were analyzed in this retrospective study. Twenty-six cases were identified for a detailed review. In these cases, 16 males and 10 females were diagnosed with orbital cellulitis by clinical characteristics and multimodal examinations. We divided patients into three groups: (1) patients secondary to rhinosinusitis, (2) patients secondary to endogenous infection(s) without endophthalmitis, and (3) patients secondary to endophthalmitis. For each group, age, gender, eye type, combined systemic diseases, clinical presentation, leukocyte count, blood culture, diagnostic imaging, therapeutic methods, length of stay, time of postoperation, and patient prognosis were analyzed in detail. Results. There were no significant differences regarding age, gender, preoperative leukocyte count, exophthalmia, blood culture, treatment, or visual changes within the three groups ( P < 0.05 ). There were significant differences, however, in postoperative leukocyte count and ophthalmoplegia between the three groups ( P < 0.05 ). The preoperative and postoperative logarithms of the minimum resolution angle scored by the best-corrected visual acuity (LogMAR BCVA) of group 3 were statistically significant compared to group 1 and group 2 ( P < 0.05 ). Conclusion. We confirmed that the prognosis of OC patients combined with systemic diseases was poor. Patients with OC secondary to endophthalmitis infrequently experience ophthalmoplegia; however, these patients still have poor visual outcomes. Patients cultured positive for Klebsiella pneumoniae infection may not be associated with liver abscess. The level of leukocytes may indicate the condition of the disease.

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“…14 In the literature, there are several reports about orbital–periorbital complications like necrotizing periorbital cellulitis, enophthalmos, and orbital hemorrhage. 6,26 Central retinal artery or vein occlusion, ischemic optic neuropathy, and cerebral ischemia are causes of postoperative visual loss. 14,27 -30 Retrograde flow of intra-arterial injections can cause vascular diseases.…”

Section: Discussionmentioning

confidence: 99%

Does Septorhinoplasty-Related Periorbital Edema Affect Intraocular Pressure and Retina?

et al. 2019

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Background: Open rhinoplasty has been performed for over 50 years. Rhinoplasty procedures have a risk of complications and it is important to follow each step diligently in order to avoid complications. Periorbital edema is the most common complication of septorhinoplasty. As far as we are aware, there are no studies in the available literature examining the impact of the septorhinoplasty on intraocular pressure and the retina. Objectives: The aim of this study was to evaluate the effects of septorhinoplasty-related periorbital edema on intraocular pressure and the retina by means of objective tests. Methods: Ten patients with phase 4 periorbital edema (5 males and 5 females) who underwent open rhinoplasty with bilateral lateral osteotomies were enrolled in the study. All the patients were examined by an eye specialist for visual acuity, intraocular pressure, retinal nerve fiber layer, and ganglion cell complex pathologies with optical coherence tomography preoperatively and postoperatively on the seventh day. Results: Preoperative and postoperative best-corrected visual acuity; intraocular pressure; average, superior, and inferior retinal nerve fiber layer thickness; and total, superior, and inferior ganglion cell complex thickness in both eyes for all patients were within normal limits. There was no statistical difference between preoperative and postoperative values ( P > .05). Conclusion: We concluded that periorbital edema after septorhinoplasty causes no significant complications affecting intraocular pressure and visual acuity. We believe that when osteotomies and local anesthetic injections are undertaken correctly, periorbital complications do not affect vision.

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Blindness resulting from orbital cellulitis following rhinoplasty

Cited by 9 publications

References 9 publications

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Clinical Characteristics and Prognosis of Adult Orbital Cellulitis in a Tertiary General Hospital

Does Septorhinoplasty-Related Periorbital Edema Affect Intraocular Pressure and Retina?

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