Sunday 27 October 2013

ORBITAL CELLULITIS


Cellulite the orbit is bacterial infection of tissues situated behind and around the bulb. The inflammation is acute, painful and usually extends to the skin surrounding the eye. Occurs in all age groups and depending on the localization of infection may be deceiving not only for vision but also life itself. What are the causes of cellulitis of the orbit Cellulite is an infection caused by bacteria.

The bacteria can come through the bloodstream and settle in orbit from a remote source of infection (eg, skin abscesses, endocarditis) or can reach by then from areas adjacent to the orbit and inflamed (sinusitis, ithmoeiditida, dental abscesses ). Chronic infections elsewhere in the body is very likely to cause cellulite than acute infections. Rarely a Cellulite can occur after injury to the eye.

The bacteria most commonly are: aureus streptococcus aimofillos influenzae (children before the appearance of the vaccine) What are the types of cellulitis of the orbit Depending on where the infection is found divided into two types Opisthodiafragmatiki cellulite konchou.Charaktirizetai the limited movement of the bulb and therefore from diplopia Prodiafragmatiki cellulitis orbital. The bulb moves freely Opisthodiafragmatiki.Ta bacteria settle and grow up behind the bulb and then extended to all the surrounding tissues. Are heavy situation and needs urgent treatment.

Prodiafragmatiki.I infection confined to the front portion of the orbit and the tissues surrounding the bulb. It is the form with less symptoms and a better prognosis What are the symptoms of cellulitis of the orbit Cellulite is the orbit may manifest with symptoms so general as fever, fatigue and malaise forces, but also locally, such as: Orbital cellulitis in an infant, after ithmoieiditida.

Pain redness of the eyelids swollen eyelids redness of the skin around the eye proptosis restrictions on the movement of the eyeball diplopia decrease in vision How is the diagnosis of cellulitis of the orbit In prodiafragmatiki form there is never prolapse or restriction on the movement of the eyeball, double vision or decrease in vision.

The identification of the region of origin of the bacteria and the culture of the bacterium is necessary to be done, for it will take x-rays, blood cultures or other more specific tests. If cellulite is opisthodiafragmatiki essential is computed tomography or magnetic orbit. What is the treatment of cellulitis of the orbit Treatment opisthodiafragmatikis orbital cellulitis is an emergency operation and needs hospitalization after danger not only vision but also the patient's life.

Before the discovery of antibiotics, 20% of these patients ultimately expansion of infection in the brain (meningitis) or due to septic shock. Today with the appropriate antibiotic, which is intravenous, disease progression is excellent. Sometimes you may need special treatment from doctors of other specialties.There are cases, however, that the appropriate antibiotic can not satisfactorily pass the closed orbital cavity or abscess is created and the risk of vision pressure of the optic nerve, so it is necessary to decompress the orbital surgery.

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