Orbital cellulite is inflammation or infection that is located in the cavity of the face where the eye and its insertions are inserted, such as muscles, nerves, blood vessels, and the tear system, which can reach its orbital (septal) part, which is more internal, or periorbitarian, in the eyelid region (pre-septal).
Although not contagious, it is caused by a bacterial infection, bacteria that colonize the skin after a blow, or the spread of a nearby infection, such as sinusitis, conjunctivitis or dental abscess, for example, and causes symptoms such as pain, swelling and difficulty.moving the eye.
- It is most common in infants and children 4 to 5 years old.
- Due to the increased delicacy of the structures surrounding the eye.
- Such as a thinner.
- Porous bone wall.
- Treatment should be done as quickly as possible.
- With antibiotics in the vein and.
- If necessary.
- With surgery to remove secretions and tissues.
- Preventing the infection from spreading to deeper areas and even reaching the brain.
This infection occurs when a microorganism reaches the eye area, mainly due to the spread of a nearby infection, such as:
The microorganisms responsible for infection depend on the age, health status and previous infection of the person, with the main Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus aureus, Streptococcus pyogenes and Moraxella catarrhalis being.
To diagnose eye cellulite, your eye doctor will look at the main signs and symptoms, but you may also order tests such as blood formula and blood culture to identify the degree of infection and microorganism, as well as a CT or MRI of the eye socket and face area, to identify the extent of the lesion and rule out other possible causes.
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Symptoms of eye cellulite include:
As the infection worsens, if not treated quickly, it can become severe and reach surrounding areas and cause complications such as orbital abscess, meningitis, vision loss due to optic nerve damage, even widespread infection and death.
To treat cellulite in the eye it is necessary to receive antibiotics intravenously, such as ceftriaxone, vancomycin or amoxicillin / clavulonate, for example, for about 3 days, and continue treatment with oral antibiotics at home, completing a total of 8 to 20 days of treatment, which vary depending on the severity of the infection and whether there are other associated infections, such as sinusitis.
Painkillers and anti-febriles are also needed to relieve pain and fever.In addition, drainage surgery may be indicated in cases of orbital abscess, compression of the optic nerve or when there is no improvement of the condition after initial treatment.