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    Spontaneous subconjunctival abscess in congenital lamellar ichthyosis.
    Indian J Ophthalmol 2018 Jun;66(6):856-858
    Department of Ophthalmology, JNMC, Belagavi, Karnataka, India.
    Congenital lamellar ichthyosis is an autosomal recessive, heterogeneous disorder presenting at birth with generalized skin involvement. The most common ophthalmic manifestation noted is bilateral ectropion of the lower eyelids. A 1-month-old female neonate, the second born of a nonconsanguineous marriage, presented with 4 days' history of redness, discharge, and swelling in the right eye. Read More

    Multi-drug resistant scleral buckle infection.
    Am J Ophthalmol Case Rep 2018 Jun 5;10:276-278. Epub 2018 Apr 5.
    Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, FL, USA.
    Purpose: To describe a case of Multi-drug resistant scleral buckle infection.

    Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was diagnosed with scleral buckle infection, the buckle was removed, and cultures revealed multi-drug resistant The postoperative course included orbital cellulitis treated with systemic linezolid, clarithromycin, and imipenem. Read More

    Orbital Cellulitis-When Computed Tomography Imaging Is Falsely Reassuring.
    Pediatr Emerg Care 2018 May 15. Epub 2018 May 15.
    An 8-year-old male presented to the pediatric emergency department with subjective fever, blurry vision, and left eye pain. On physical examination, there was mild left lower lid erythema and a subtle left eye elevation deficit. Computed tomography demonstrated preseptal soft tissue swelling without orbital involvement; however, there was varying amounts of paranasal sinus opacification. Read More

    Langerhans cell histiocytosis in an 18-month-old child presenting as periorbital cellulitis.
    Saudi J Ophthalmol 2018 Jan-Mar;32(1):52-55. Epub 2018 Feb 16.
    Department of Ophthalmology, The Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada.
    Langerhans cell histiocytosis (LCH) is a rare multi-system disease. It presents infrequently as a childhood orbital tumor, and can mimic more common inflammatory orbital disease processes. We report the clinical, histopathological, and electron microscopic findings of orbital LCH in an 18-month-old child, along with a review of the recent literature regarding molecular pathogenetic analysis of LCH. Read More

    Complications in transorbital penetrating injury by bamboo branch: A case report.
    Medicine (Baltimore) 2018 May;97(19):e0706
    Department of Radiology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, PR China.
    Rationale: Wooden transorbital penetrating injury is an uncommon and serious trauma that may cause multiply complications.

    Patient Concerns: Here we describe a 62-year-old Chinese woman with a transorbital penetrating injury caused by a long bamboo branch.

    Diagnosis: Computed tomography scan and magnetic resonance imaging showed the presence of a wooden foreign body. Read More

    ACR Appropriateness Criteria Orbits Vision and Visual Loss.
    J Am Coll Radiol 2018 May;15(5S):S116-S131
    Specialty Chair, UC San Diego Health, San Diego, California.
    Visual loss can be the result of an abnormality anywhere along the visual pathway including the globe, optic nerve, optic chiasm, optic tract, thalamus, optic radiations or primary visual cortex. Appropriate imaging analysis of visual loss is facilitated by a compartmental approach that establishes a differential diagnosis on the basis of suspected lesion location and specific clinical features. CT and MRI are the primary imaging modalities used to evaluate patients with visual loss and are often complementary in evaluating these patients. Read More

    Common Orbital Infections ~ State of the Art ~ Part I.
    J Ophthalmic Vis Res 2018 Apr-Jun;13(2):175-182
    Orbital Service, Moorfields Eye Hospital, London EC1V 2PD, UK.
    Infections of the orbit and periorbita are relatively frequent, and can cause significant local and systemic morbidity. Loss of vision occurs in more than 10% of patients, and systemic sequelae can include meningitis, intracranial abscess, and death. Numerous organisms infect the orbit, but the most common are bacteria. Read More

    Orbital cellulitis secondary to a fungal sinusitis caused by Scopulariopsis: The first case in Tunisia.
    J Mycol Med 2018 Apr 27. Epub 2018 Apr 27.
    Laboratory of parasitology mycology, Habib-Bourguiba Hospital, 3029 Sfax, Tunisia. Electronic address:
    We report a case of invasive fungal sinusitis caused by Scopulariopsis in 57 year-old man who had recurrence of orbital cellulitis. CT-scan and magnetic resonance imaging found an orbital cellulitis associated to a left frontal sinusitis with bone erosion and calcification. Patient was treated by surgical debridement and voriconazole. Read More

    A case report of orbital Langerhans cell histiocytosis presenting as a orbital cellulitis.
    Arch Soc Esp Oftalmol 2018 Apr 8. Epub 2018 Apr 8.
    Unidad de Órbita y Oculoplástica, Servicio de Oftalmología, Hospital Universitario de Gerona Dr. Josep Trueta, Gerona, España.
    Clinical Case: A 10-year-old girl was seen with a 3-week history of right upper lid swelling and with no other symptoms or fever. There was no recent history of sinusitis, trauma, or previous infection involving the periorbital area, or response to oral antibiotic treatment. Orbital computed tomography showed a lesion involving the upper margin of the orbit, and bone destruction at the orbital roof. Read More

    Lymphoma Maxilla mimicking orbital cellulitis; case report and review of Literature.
    Nepal J Ophthalmol 2017 Jul;9(18):180-186
    Background: Sinonasal lymphomas are the commonest nonepithelial malignancies of the nasal cavity and paranasal sinuses. They may spread from their site of origin in nasal cavity and invade adjacent structures including orbits leading to varying presentation and a diagnostic dilemma.

    Case: A-77- year old Nepalese male presented with swelling of left eye since 1 month and pain in the same eye since 2 days. Read More

    Clostridium perfringens panophthalmitis and orbital cellulitis: a case report.
    BMC Ophthalmol 2018 Apr 10;18(1):88. Epub 2018 Apr 10.
    Clinical Bacteriology Department, Amiens-Picardie University Hospital, Amiens, France.
    Background: Clostridium perfringens is an uncommon pathogen in endophthalmitis, causing rapid destruction of ocular tissues. Clostridium perfringens infection typically occurs after penetrating injury with soil-contaminated foreign bodies.

    Case Report: Here, we describe the case of a 17-year-old male who sustained a penetrating injury with a metallic intraocular foreign body and who rapidly developed severe C. Read More

    Management of a Severe Cervicofacial Odontogenic Infection.
    J Contemp Dent Pract 2018 Mar 1;19(3):352-355. Epub 2018 Mar 1.
    Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Pernambuco, Camaragibe, Brazil.
    Introduction: Odontogenic infections originate from a tooth or from its supporting structures, generally secondary to a pulp necrosis, periodontal disease, pericoronitis, apical lesions, or complications of dental procedures, which can be restricted to the alveolus or can reach the jaws and face through maxillofacial spaces. These are the most common conditions which affect the head and neck regions.

    Aim: The aim of this study is to report a severe case of a cervicofacial odontogenic infection while discussing the most relevant aspects. Read More

    Ocular involvement in melioidosis: a 23-year retrospective review.
    J Ophthalmic Inflamm Infect 2018 Mar 27;8(1). Epub 2018 Mar 27.
    Department of Ophthalmology, Khon Kaen Hospital, Khon Kaen, Thailand.
    Background: Ocular involvement in melioidosis is rare and has devastating outcomes. Although there have been few reports on the condition, Khon Kaen, a city in northeast Thailand, has been called the "capital of melioidosis" due to the high prevalence of the condition in the region. We retrospectively reviewed all admitted cases of melioidosis with ocular involvement from the two largest hospitals in Khon Kaen. Read More

    Varicella zoster causing preseptal cellulitis - uncommon but possible.
    Malays Fam Physician 2017 31;12(3):37-39. Epub 2017 Dec 31.
    (Corresponding author) MBBs (Bangalore), Ms ORL-HNS (UKM) Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia email:
    Background: Varicella has been known to be a harmless childhood disease. However, it has been reported that severe complications have taken place following Varicella infection, in both immunocompetent, as well as immunocompromised, individuals. Cutaneous complications of Varicella may manifest as preseptal cellulitis, albeit rarely. Read More

    Saksenaea vasiformis Orbital Cellulitis in an Immunocompetent Child Treated With Posaconazole.
    J Pediatric Infect Dis Soc 2018 Mar 7. Epub 2018 Mar 7.
    Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
    An 11-year-old immunocompetent girl presented with two and a half months of progressive right orbital cellulitis, which did not respond to multiple courses of antibiotics or prednisone. A panfungal polymerase chain reaction primer was positive for Saksenaea vasiformis, and she completed 5 months of oral posaconazole therapy after debridement. Saksenaea vasiformis is a rare cause of zygomycosis, and it typically causes skin and soft tissue infection in immunocompetent hosts, particularly after a traumatic injury. Read More

    An Extremely Rare Cause of Orbital Emphysema in a Child.
    J Craniofac Surg 2018 Mar 8. Epub 2018 Mar 8.
    Division of Plastic and Reconstructive Surgery, Montreal Children's Hospital, McGill University, Montreal.
    The authors present a rare case of nontraumatic medial orbital wall fracture in an 11-year-old girl. Fractures of the orbital wall secondary to nose blowing have not been previously described in the pediatric population. The patient reported a history of chronic forceful nose blowing, followed by periorbital swelling after an episode of vigorous nose blowing. Read More

    Retrobulbar abscess: rare complication after repair of an oroantral communication.
    Br J Oral Maxillofac Surg 2018 Apr 2;56(3):227-229. Epub 2018 Mar 2.
    Oral & Maxillofacial Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ. Electronic address:
    We present the case of a retrobulbar abscess that developed secondary to the repair of an oroantral communication. Orbital abscesses have been described in relation to odontogenic infections, facial injury, sinusitis, and after dental extractions but, to the best of our knowledge, none has been reported in these circumstances. Retrobulbar abscess is a rare complication, but early clinical and radiological diagnosis, and urgent decompression are vital because it comes with considerable risk of irreversible visual impairment. Read More

    Evaluation of patients with orbital infections.
    Turk Pediatri Ars 2017 Dec 1;52(4):221-225. Epub 2017 Dec 1.
    Istanbul University, Cerrahpaşa Medical Faculty, Department of Pediatrics, Division of Immunology-Allergy and Infectious Diseases, Istanbul, Turkey.
    Aim: Orbital tissue infections are common infections of childhood that can lead to severe complications. Herein, we aimed to evaluate the etiologic factors, diagnosis, follow-up, and treatment procedures in pediatric patients with orbital infections.

    Material And Methods: This study was performed retrospectively between January 2014 and December 2015 in Cerrahpasa Medical Faculty Pediatric Infectious Disease Unit. Read More

    Caroticocavernous Fistula: Successful Reversal by Endovascular Treatment.
    J Coll Physicians Surg Pak 2018 Mar;28(3):S54-S55
    Department of Diagnostic Radiology, Al-Khidmat Teaching Hospital, Mansoora.
    A 22-year male presented in outpatient department with right sided proptosis and chemosis, after a roadside accident two months back. He was on treatment for orbital cellulitis and taking steroids with antibiotics, both orally and topically. He was also on topical antiglaucoma agents. Read More

    Orbital apex syndrome from bacterial sinusitis without orbital cellulitis.
    Am J Ophthalmol Case Rep 2018 Jun 31;10:84-86. Epub 2018 Jan 31.
    Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), 6431 Fannin St., MSB 7.024, Houston, TX, 77030, United States.
    Purpose: To describe a case of orbital apex syndrome as a result of isolated bacterial sinusitis.

    Observations: A 63-year-old woman presented with an orbital apex syndrome from isolated bacterial sinusitis with rapidly declining visual acuity to no light perception. We compared our case with 6 similar cases of severe vision loss from isolated bacterial sinusitis. Read More

    Indicators for imaging in periorbital cellulitis secondary to rhinosinusitis.
    Eur Arch Otorhinolaryngol 2018 Apr 15;275(4):943-948. Epub 2018 Feb 15.
    Department of Otolaryngology-Head and Neck Surgery, Assaf Harofeh Medical Center, Tel Aviv University Sackler School of Medicine, 70300, Zerifin, Israel.
    Purpose: Our objective was to identify the clinical indicators for subperiosteal orbital abscess (SPOA) among patients who present with periorbital cellulitis secondary to rhinosinusitis, and to evaluate the need for performing a computerized tomography (CT) scan.

    Methods: A retrospective cohort study of all patients admitted to our tertiary care emergency department between 2006 and 2014 was conducted. Included were healthy patients with acute periorbital cellulitis secondary to rhinosinusitis. Read More

    Orbital cellulitis and brain abscess - rare complications of maxillo-spheno-ethmoidal rhinosinusitis.
    Rom J Ophthalmol 2017 Apr-Jun;61(2):133-136
    ENT Department, Clinical Emergency County Hospital, Constanta, Romania.
    Sinus infections can be complicated by ocular infections and, in late phases, by brain parenchyma infection. The article debates the case of a 12-year-old patient suffering from paucisymptomatic maxillo-spheno-ethmoidal rhinosinusitis, which was later complicated by orbital cellulitis, ending with the development of a brain abscess. The treatment is complex, initially targeting the source of the infection through draining the collection by middle maxillary antrostomy and anterior posterior ethmoidectomy, then the ablation of the brain abscess and postoperatively with prolonged massive antibiotherapy. Read More

    Microbiology and antibiotic therapy of subperiosteal orbital abscess in children with acute ethmoiditis.
    Int J Pediatr Otorhinolaryngol 2018 Mar 2;106:91-95. Epub 2018 Feb 2.
    Service d'ORL Pédiatrique, Hôpital Femme Mère Enfants, Centre Hospitalier et Universitaire, Lyon, France; Service d'ORL, Hôpital Edouard Herriot, Centre Hospitalier et Universitaire, Lyon, France; Université de Lyon, Lyon, France; INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, IMPACT Team, Lyon, France. Electronic address:
    Objective: The objective of this study was to investigate the microbiological cultures and the management of acute ethmoiditis complicated by subperiosteal orbital abscess (SPOA) in a pediatric population.

    Methods: The medical records of children under 18 years old was performed in a tertiary referral pediatric center from January 2009 to April 2017. Clinical examination, computed tomography scans, medical and surgical treatments were reviewed and compared to other studies in literature. Read More

    Neurological Complications of Acute and Chronic Sinusitis.
    Curr Neurol Neurosci Rep 2018 Feb 5;18(2). Epub 2018 Feb 5.
    Loyola University Medical Center, Maywood, IL, USA.
    Purpose Of Review: Acute and chronic sinusitis can give rise to a wide array of intracranial and orbital complications. These complications include brain abscess, subdural empyema, epidural abscess, meningitis, venous sinus thrombosis, frontal bone osteomyelitis, and orbital cellulitis and abscess. Despite numerous medical advances, these complications carry a risk of mortality and significant morbidity. Read More

    The best of the best: a review of select oculoplastic case series published in 2015.
    Digit J Ophthalmol 2017 21;23(4):1-3. Epub 2017 Nov 21.
    Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York.
    This review summarizes three case series published in the field of oculoplastic surgery in the year 2015. The first article describes the use of hedgehog pathway inhibitors for medical therapy of advanced periocular basal cell carcinoma and basal cell nevus syndrome. The second describes the use of c-reactive protein as a marker for starting treatment with steroids in children with orbital cellulitis. Read More

    [Orbital cellulitis complicated by subperiosteal abscess due to Streptococcus pyogenes infection].
    Bol Med Hosp Infant Mex 2017 Mar - Apr;74(2):134-140. Epub 2017 Mar 15.
    Departamento de Infectología Pediátrica, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.
    Background: Orbital cellulitis is an infectious disease that is very common in pediatric patients, in which severe complications may develop. Etiological agents related to this disease are Haemophilus influenzae B, Staphylococcus aureus, Streptococcus pneumoniae and Moraxella catarrhalis, which correspond to 95% of cases. Moreover, Streptococcus beta hemolytic and anaerobic microorganisms may also be present corresponding to < 5% of the cases. Read More

    Temporal Expression of Genes in Biofilm-Forming Ocular Candida albicans Isolated From Patients With Keratitis and Orbital Cellulitis.
    Invest Ophthalmol Vis Sci 2018 Jan;59(1):528-538
    Jhaveri Microbiology Centre Prof. Brien Holden Eye Research Centre, L V Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad, India.
    Purpose: To study antibiotic susceptibility and biofilm-forming potential of ocular isolates of Candida albicans along with gene expression.

    Methods: Seven clinical isolates of C. albicans (keratitis-6 and orbital cellulitis-1) were evaluated. Read More

    Right orbital edema masquerading a hematologic malignancy.
    SAGE Open Med Case Rep 2018 10;6:2050313X17751838. Epub 2018 Jan 10.
    Division of Hematology/Oncology, Einstein Medical Center, Philadelphia, PA, USA.
    Introduction: Multiple myeloma is caused by abnormal proliferation of plasma cells that affects more commonly African Americans. It classically presents with hypercalcemia, renal failure, anemia, and lytic bone lesions. The aim of this article is to present an unusual case of a 63-year-old African-American female with multiple myeloma who presented with worsening right-sided eye swelling for the past 3 weeks and to briefly review ophthalmologic manifestations of multiple myeloma. Read More

    A Case of Right-Sided Direct Carotid Cavernous Fistula: A Diagnostic Challenge.
    Am J Case Rep 2018 Jan 12;19:47-51. Epub 2018 Jan 12.
    Department of Internal Medicine, University of Nevada-Reno, School of Medicine, Reno, NV, USA.
    BACKGROUND Carotid cavernous fistulas (CCFs) are rare potentially sight-threatening abnormal connections between carotid artery and cavernous sinus. CASE REPORT We report a case of CCF in an 83-year-old female, who presented with swollen and painful right eye. The patient was initially treated with empiric antibiotics for suspected peri-orbital cellulitis, as noted clinically and in computed tomography (CT) orbits. Read More

    Conservative Management for Subperiosteal Orbital Abscess in Adults: A 20-Year Experience.
    Ann Otol Rhinol Laryngol 2018 Mar 3;127(3):162-166. Epub 2018 Jan 3.
    1 Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
    Objective: Orbital complications (OC) secondary to acute rhinosinusitis (ARS) in adults are less common than in children, with assumed worse outcome.

    Materials And Methods: Adults with OC secondary to ARS between 1994 and 2014 were reviewed retrospectively. Parameters recorded included age, gender, clinical symptoms and signs, computed tomography (CT) scan findings, duration of hospitalization, treatment before and during admission, cultures, and outcome. Read More

    Knowledge and Attitude of Dental Surgeons about Ocular Complications Due to Dental Infection.
    J Pharm Bioallied Sci 2017 Nov;9(Suppl 1):S147-S153
    Department of Oral Pathology, Guru Gobind Singh College of Dental Sciences and Research Centre, Bhuranpur, Madhya Pradesh, India.
    Background: Ocular complications such as ophthalmia, defective vision, orbital cellulitis, and blindness (temporary or permanent) are rare complications due to dental infection. Currently, there is lack of guidelines in preventing and managing ocular problems. Hence, we assessed the dentist's knowledge and attitudes about ocular complications due to dental infection. Read More

    Case report of the family transmission of orbital cellulitis.
    Am J Ophthalmol Case Rep 2017 Jun 20;6:52-54. Epub 2017 Feb 20.
    Sainte-Justine Hospital, Montreal University, Canada.
    Purpose: This is a case report of an unusual case of the family transmission of infection in three siblings. One brother contracted the infection which resulted in orbital cellulitis of two of his siblings, in the absence of anatomical or immunological predisposing factors.

    Observations: A young boy contracted an uncomplicated upper respiratory tract infection. Read More

    Orbital Cellulitis Presenting as Giant Cell Arteritis: A Case Report.
    Acta Neurol Taiwan 2017 Jun;26(2):72-75
    Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
    Purpose: To present a case of orbital cellulitis initially mimicking giant cell arteritis.

    Case Report: An 80-year-old man with a history of hypertension and type 2 diabetes mellitus was referred with a prominent progressive headache over the right temporal and periorbital areas. Non-contrast brain CT results were normal, but ESR was elevated. Read More

    Orbital cellulitis.
    Surv Ophthalmol 2017 Dec 15. Epub 2017 Dec 15.
    Department of Ophthalmology, University of Thessaly, Larissa, Greece. Electronic address:
    Orbital cellulitis (OC) is an inflammatory process that involves the tissues located posterior to the orbital septum within the bony orbit, but the term generally is used to describe infectious inflammation. It manifests with erythema and edema of the eyelids, vision loss, fever, headache, proptosis, chemosis, and diplopia. OC usually originates from sinus infection, infection of the eyelids or face, and even hematogenous spread from distant locations. Read More

    Variation in Care and Clinical Outcomes in Children Hospitalized With Orbital Cellulitis.
    Hosp Pediatr 2018 Jan 5;8(1):28-35. Epub 2017 Dec 5.
    Divisions of Pediatric Hospital Medicine and.
    Objectives: To describe variation in the care of children hospitalized with orbital cellulitis and to determine associations with length of stay (LOS), emergency department (ED) revisits, and hospital readmissions.

    Methods: By using the Pediatric Health Information System, we performed a multicenter, retrospective study of children aged 2 months to 18 years with a primary discharge diagnosis code for orbital cellulitis from 2007 to 2014. We assessed hospital-level variation in the use of diagnostic tests, corticosteroids, and antibiotics individually and in aggregate for association with outcomes (LOS, ED revisits, readmissions) after risk-adjusting for important clinical and demographic factors. Read More

    When an Orbital Infection Isn't Infectious at All: A Review of Orbital Inflammatory Syndrome.
    Pediatr Ann 2017 Nov;46(11):e433-e436
    Orbital inflammatory syndrome (OIS) includes a wide range of clinical manifestations and may initially be misdiagnosed as orbital cellulitis due similar symptoms of fever, periorbital swelling, and pain with eye movements. A diagnosis of OIS requires evaluation for underlying systemic disorders including autoimmune disorders and thyroid disease. Symptoms typically improve rapidly after initiation of steroid therapy, although recurrence can occur. Read More

    Epidemiology of Primary Ophthalmic Inpatient Admissions in the United States.
    Am J Ophthalmol 2018 Jan 31;185:101-109. Epub 2017 Oct 31.
    Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address:
    Purpose: To determine the national estimates, demographics, and costs of inpatient eye care in the United States (US).

    Design: Retrospective cross-sectional study.

    Methods: National Inpatient Sample (NIS), a representative sample of all US community hospitals, was used to analyze inpatient admissions with a primary ophthalmic diagnosis from 2001 to 2014. Read More

    Clinical Mimics: An Emergency Medicine-Focused Review of Cellulitis Mimics.
    J Emerg Med 2017 Oct;53(4):475-484
    Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.
    Background: Cellulitis is a common clinical condition with low rates of morbidity and mortality if treated appropriately. Mimics of cellulitis presenting with erythema, edema, warmth, and pain can be associated with grave morbidity and mortality if misdiagnosed.

    Objective: This review investigates the signs and symptoms of cellulitis, mimics of cellulitis, and an approach to the management of both cellulitis and its mimics. Read More

    Ocular tuberculosis in Hospital Universiti Sains Malaysia - A case series.
    Ann Med Surg (Lond) 2017 Dec 13;24:25-30. Epub 2017 Oct 13.
    Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
    Introduction: Ocular tuberculosis (TB) encompasses a broad spectrum of clinical manifestations affecting different structures of the eye. It is caused by , a great ancient organism that induces various types of diseases and unfavorable outcomes if unrecognized and not well treated.

    Purpose: To report the clinical profile of 34 ocular TB cases observed during 6 years period in Hospital Universiti Sains Malaysia (HUSM). Read More

    Hyaluronidase allergy mimicking orbital cellulitis.
    Orbit 2018 Apr 20;37(2):149-153. Epub 2017 Oct 20.
    a Orbit, Oculoplasty, Reconstructive & Aesthetic Services , Sankara Nethralaya, Medical Research Foundation , Chennai , India.
    Purpose: Hyaluronidase enzyme is a common additive with local anesthetic agent to facilitate faster permeation of the anesthetic in periocular tissues during ophthalmic surgery. We report a series of five subjects presenting with clinical features mimicking orbital cellulitis following peribulbar anesthesia and consequently diagnosed with hyaluronidase hypersensitivity.

    Setting: The study was conducted at a tertiary eye care center in Southern India. Read More

    A rare case of orbital granulomatous inflammation from explosive hydraulic oil masquerading as orbital cellulitis.
    Orbit 2018 Apr 20;37(2):154-156. Epub 2017 Oct 20.
    a Department of Ophthalmology , University of Alberta , Edmonton , Canada.
    The differential diagnosis for acute orbital inflammation is broad. We report a case of granulomatous orbital inflammation due to high-pressure oil injury to the orbit presenting as an atypical orbital cellulitis. Here we review the presentation and treatment of orbital inflammation from oil. Read More

    Spontaneous Rupture of Lacrimal Gland Pleomorphic Adenoma: Pivotal Role in Masquerading Orbital Cellulitis.
    Ophthalmic Plast Reconstr Surg 2018 Mar/Apr;34(2):e41-e43
    Ophthalmic Plastic & Reconstructive Surgery Department, Farabi Hospital, Tehran University of Medical Sciences, Eye Research Center, Farabi Hospital, and Pathology Department, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.
    The authors aim to report a 68-year-old patient presenting with acute swelling and redness of orbital area diagnosed initially as orbital cellulitis. Surgical excision was decided based on clinical and imaging findings with the diagnosis of pleomorphic adenoma of the lacrimal gland. Lacrimal gland pleomorphic adenoma usually presents with painless gradual swelling of upper eyelid. Read More

    Ultrasound evaluation of normal orbital preseptal thickness.
    Nepal J Ophthalmol 2017 Jan;9(18):56-59
    Introduction: Orbital preseptal thickness is an important parameter not only in diagnosis of orbital cellulitis but also in recent classification and management of dark eye circle (DEC).

    Objective: The aim of this study was to evaluate normal preseptal thickness and collect baseline data in normal skin in a given population with no orbital pathology.

    Materials & Method: Ultrasound was performed on 42 patients (23 females and 19 males) with clinically normal eyes and orbits for evaluation of normal orbital preseptal thickness. Read More

    Orbital complications of paranasal sinusitis in Taiwan, 1988 through 2015: Acute ophthalmological manifestations, diagnosis, and management.
    PLoS One 2017 3;12(10):e0184477. Epub 2017 Oct 3.
    Department of Ophthalmology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
    Purpose: Paranasal sinusitis is widespread and can lead to orbital complications, blindness, and death. However, the correlation between ophthalmological findings and disease staging remains unclear. This study aimed to investigate the staging, acute ophthalmological manifestations, diagnosis, management, and outcomes of orbital complications of paranasal sinusitis during a 27-year period. Read More

    Clinical Outcome of Probing in Infants with Acute Dacryocystitis - A Prospective Study.
    J Clin Diagn Res 2017 Aug 1;11(8):NC01-NC03. Epub 2017 Aug 1.
    Professor and Head, Department of Ophthalmology, IGIMS, Patna, Bihar, India.
    Introduction: Acute dacryocystitis is an uncommon but serious condition in infants and needs immediate treatment. Although, medical management with systemic antibiotics remains the mainstay of initial treatment, there are recent studies justifying simultaneous Naso Lacrimal Duct (NLD) probing with acceptable success rate.

    Aim: To assess the success rate of probing in the management of infantile acute dacryocystitis and to analyse the factors affecting it. Read More

    Orbital apex syndrome secondary to a fungal nasal septal abscess caused by Scedosporium apiospermum in a patient with uncontrolled diabetes: a case report.
    BMC Infect Dis 2017 09 26;17(1):649. Epub 2017 Sep 26.
    Department of Clinical Pathology, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.
    Background: Orbital apex syndrome is a localized type of orbital cellulitis, where mass lesions occur at the apex of the cranial nerves. Although nasal septal abscess is uncommon, the organism most likely to cause nasal septal abscess is Staphylococcus aureus, and fungal septal abscesses are rare. Here we present an extremely rare and serious case of orbital apex syndrome secondary to fungal nasal septal abscess caused by Scedosporium apiospermum in a patient with uncontrolled diabetes. Read More

    Bilateral Subperiosteal Hematoma and Orbital Compression Syndrome in Sickle Cell Disease.
    J Craniofac Surg 2017 Nov;28(8):e775-e776
    *Şehit Kamil State Hospital, Ophthalmology Clinic, G.Antep †Department of Ophthalmology ‡Division of Pediatric Hematology, Faculty of Medicine, Mersin University §Mersin State Hospital, Ophthalmology Clinic, Mersin, Turkey.
    A 14-year-old boy with sickle cell disease presented with preseptal cellulitis findings as proptosis, eyelid edema, and hyperemia. His best corrected visual acuity in the right eye was 20/20 and 16/20 in the left eye. He had limited ductions in vertical and lateral gazes in both eyes. Read More

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