Orbitale Komplikation einer akuten Sinusitis

Bajor, Anna; Lang, Carl Philip; Bültmann, Eva; Framme, Carsten; Hufendiek, Karsten

doi:10.1007/s00347-016-0296-7

Cited by 3 publications

(4 citation statements)

References 3 publications

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“…Thin-slice CT scan with contrast and MRI with fat suppression technique7 are very useful imaging methods in the case of orbital cellulitis for identifying the progression of disease, foreign bodies and the presence of subperiosteal abscess or intracranial involvement. Staphylococci and streptococci are the most common organisms in orbital cellulitis1,2 as in our case. Loss of vision8 occurs in more than 10% of patients including proptosis resulting in lagophthalmos and corneal exposure, mechanical compression of the optic nerve, severe increased IOP, orbital compartment syndrome, inflammation of the optic nerve and endophthalmitis.…”

Section: Discussionsupporting

confidence: 60%

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<p>Combined central retinal vein, central retinal artery and cilioretinal artery occlusion with ischemic macular hole secondary to severe orbital cellulitis after black fly bite</p>

Keorochana¹,

Vongkulsiri²,

Choontanom³

2019

IMCRJ

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Background: Orbital cellulitis is an infection of the ocular adnexal and orbital tissues behind the orbital septum. The complications are poor prognosis. This paper is to describe some severe rare complications of orbital cellulitis. Case presentation: A case of 32-year-old female presented with acute severe progressive orbital cellulitis on the right eye after a black fly (Simuliidae spp.) bite. Orbital imaging with computed tomography and magnetic resonance imaging showed eyelid abscess with orbital abscess formation and superior ophthalmic vein thrombosis. She was promptly treated with intravenous vancomycin, piperacillin and had surgical procedures to release orbital pressure including lateral canthotomy, lateral cantholysis, and eyelid with orbital abscess drainage. Pus collection culture was positive for Staphylococcus aureus. Even though she responded well to antibiotics treatment, progression involved severe orbital inflammation with marked increased orbital pressure, and her visual acuity was such that she had no light perception. Combined central retinal vein, central retinal artery and cilioretinal artery occlusion were identified. Fundus examination showed retinal whitening at the posterior pole and a few scattered flame-shaped retinal hemorrhages. The cilioretinal artery presented with perivascular retinal whitening. A fundus fluorescein angiogram revealed cilioretinal and retinal artery filling delay and also delayed arteriovenous transit time. She also developed an ischemic macular hole after a week of treatment. We demonstrate an optical coherence tomography image showing the intact posterior hyaloid membrane that represents no traction on the macula to support the ischemic cause. Conclusion: Multiple retinal vascular occlusion and ischemic macular hole could be an early complication of severe orbital cellulitis from increased orbital pressure; therefore, close monitoring of visual acuity with IOP, and prompt treatment when indicated might reduce the risk of consequent blindness.

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Section: Discussionsupporting

confidence: 60%

“…The most common pathogens are Gram-positive bacteria such as Streptococc us spp. and Staphylococcus aureus 1,2. Fungal infections should be considered in immunocompromised patients.…”

Section: Introductionmentioning

confidence: 99%

<p>Combined central retinal vein, central retinal artery and cilioretinal artery occlusion with ischemic macular hole secondary to severe orbital cellulitis after black fly bite</p>

Keorochana¹,

Vongkulsiri²,

Choontanom³

2019

IMCRJ

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“…In contrast to our series, where the ophthalmological complications of rhino-sinusitis were dominated by pre septal cellulitis and pre septal abscess, Bejor UN et al [10] found exposure keratopathy, increased intraocular pressure, central retinal artery or vein occlusion and optic neuropathy as ocular complications. This confirms the hypothesis that the types of complications vary according to the initial anatomical involvement, which was mainly maxillary and ethmoid in our series.…”

Section: Discussioncontrasting

confidence: 99%

Epidemiological, Clinical and Therapeutic Profiles of Ophthalmological Complications of Rhino-Sinusitis in a Tertiary Facility in Black Africa

Diallo¹,

Balde²,

Diallo³

et al. 2021

IJOHNS

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Introduction: Rhinosinusitis is one of the most common ENT diseases. Its main complications are of three types: cranial, endo-cranial and ophthalmological. The aim of this study was to contribute to the study of ophthalmological complications of rhino-sinusitis in our context. Material and Methods: This was a prospective study, of descriptive type, of six (6) months (July-December 2017), concerning the patients received and treated for ophthalmological complications of rhino-sinusitis at the National IgnaceDeen Hospital. Results: During our study period, we collected 32 ophthalmological complications of rhinosinusitis, i.e. 65.31% of cases. The average age of our patients How to cite this paper: Diallo, A.O.,

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“…By contrast, the patient presented in this article recovered visual acuity from NLP postoperatively to 20/20 despite infection-related and/or surgery-related optic nerve injury evident on OCT. Consistent with previous observations in optic neuropathy secondary to severe pediatric infections (5), our patient recovered relatively rapidly compared with adults with SBO (3). However, complete recovery of central visual acuity from NLP is remarkable and likely reflects the lack of systemic comorbidities, surgical accessibility of the infectious source, and timely intervention.…”

Section: Discussionsupporting

confidence: 91%