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conferenceseries
.com
Volume 9
Journal of Clinical & Experimental Ophthalmology
Ophthalmology Conference 2018
September 17-18, 2018
September 17-18, 2018 Tokyo, Japan
17
th
Asia Pacific Ophthalmologists Annual Meeting
J Clin Exp Ophthalmol 2018, Volume 9
DOI: 10.4172/2155-9570-C6-094
Orbital cellulitis presenting as proptosis in an 8-year old male
Patricia L Lee, Analyn S Guerrero and Franklin P Kleiner
Cardinal Santos Medical Center, Philippines
A
n 8 year old male presented with sudden-onset proptosis and decreased vision in the left eye. Magnetic resonance imaging
done showed a left-sided sub-periosteal ethmoidal abscess associated with maxillary sinusitis. The patient was started on
empiric intra-vitreal antibiotics with no improvement in symptoms. He subsequently underwent surgical drainage through a
combined external Lynch and internal transnasal endoscopic sinus approach. Cultures of collected purulent material revealed
normal orbital flora and
P. pneumotropica
in the maxillary sinus. Antibiotics were shifted accordingly. On the fourth post-
operative day, proptosis had resolved and vision had improved. At least 10% of all orbital cellulitis cases are complicated by
the presence of orbital or sub-periosteal abscesses. While current practice recommends close observation and intravenous
antibiotics only in children under 9 years of age with small to moderately-sized abscesses and no intracranial or dental
involvement, individualized treatment is important. Prompt imaging and a discerning clinical eye are thus central in guiding
treatment, particularly in patients who require surgical intervention.
ptrcalee@gmail.com