The symptoms and treatment of cellulitis of the orbit

The suppuration and inflammation of the orbital tissue, burdened by necrosis, is called phlegmon of the orbit and belongs to the group of diffuse purulent inflammation. The rapid development of acute disease occurs within a few hours or a day. The pathological process is characterized by headache, high fever, delirium, chills, slow pulse, there are brain phenomena.

The cause of cellulitis of the orbit may be the penetration of common infections such as flu, typhoid, scarlet fever. To develop the disease may be due to dacryocystitis, phlegmon century, purulent sinusitis, purulent processes occurring on the face such as boils, styes, erysipelas. Among the reasons noted and the injury of the orbit with subsequent infection its tissues by microbes, stimulating gonorrhea due to introduction into the orbit of infected foreign bodies. the Development of cellulitis may be a sequel of thrombosis of the orbital veins, also result from the spread of the process of suppuration in the orbital tissue from the neighbouring foci.

Symptoms of cellulitis of the orbit

The process proceeds with one hand. Complaints from patients having a headache, pain in the area of the orbit and eyelid, when moving the eyeball, palpation around the eyes. Appears General weakness, greatly increased temperature. Visualized eyelid swelling and redness may occur as the closing of one of the eye slits. Limited mobility Apple can develop exophthalmia. Sometimes there is displacement of the eyeball – if the abscess is a complication of periostitis or osteitis of the walls of the orbit. If the process is to continue, it would increase the amount of the conjunctiva of Apple, there will be its infringement between the borders of the eyelids, you will notice an increase pucheglazija, immobility Apple and a sharp decline in vision. As a result of the palpation can be felt swollen contents of the orbit at the borders of the orbits. Is compressed eye nerves, which can lead to trophic disorders, manifested keratitis, purulent ulcer of the cornea.

Often there is involvement in the inflammatory process of the optic nerve and the choroid and retina. The manifestation of these symptoms is accompanied by congestion, purulent horioidita, deep vein thrombosis or panophthalmitis, which can lead to atrophy of the eyeball. If the process is restricted in the eye socket, then the formation of abscess, and its spontaneous dissection through the conjunctiva or skin. Otherwise, the possible transfer of disease to the meninges, venoussinuses that will lead to the development of sepsis and fatal outcome.

Treatment of cellulitis of the orbit

As preventive measures the occurrence of cellulitis is a timely treatment of eye diseases and okoloplodnykh areas (barley, purulent dacryocystitis, phlegmon century), carrying out proper and timely treatment of eye injuries. First aid at suspicion on the abscess of the orbit may be to correct diagnosis and direction to a hospital. This can be assigned to large doses of antibiotics, characterized by wide spectrum of action. The hospital carried out a conservative combined treatment in the form of antibiotically therapy – as intramuscularly and intravenously and inside.

In addition to the antibiotics administered sulfonamides. Is intravenous 40% solution hexamine, a 40% solution of glucose and ascorbic acid. In the presence of areas of softening make incisions in the tissues for penetration into the eye, hold drainage, lay turundy soaked in hypertonic solution 10% sodium chloride.

Successful treatment cellulitis of the orbit may occur only with the establishment of its causes. If you find inflammation of the paranasal sinuses may be necessary readjustment of foci of infection.