Cortés BF, Quesada CJ

Language: Spanish
References: 15
Page: 3-6
PDF size: 100.25 Kb.

ABSTRACT

Orbital cellulitis and preseptal cellulitis are ophthalmological emergencies, relatively frequent and potentially serious. The distinction between both is extremely important because they have different therapies essential for a good evolution and prognosis. The anatomical relationship of the orbit with neighboring structures is key to understanding part of the etiopathogenesis of these, appearing in most cases as complications of sinusitis. The diagnosis between both can be difficult and the complications of poor diagnosis and inadequate treatment can be potentially life-threatening. Clinically both can share erythema, palpebral edema and heat, but orbital cellulitis has more specific signs and symptoms such as pupil involvement, restriction of eye movements, proptosis and loss of visual acuity. The initial treatment is usually medical in cases of preseptal cellulitis, directed to the most frequent microorganisms, and in the case of orbital cellulitis treatment usually requires hospitalization and use of intravenous broad spectrum antibiotics.

REFERENCES

1. Adamson, J., & Waterfield, T. (2018). Fifteen-minute consultation: Preseptal and orbital cellulitis. Archives of disease in childhood - Education & practice edition, 1–5.

2. Akçay, E., Can, G. D., & Çağıl, N. (2014). Preseptal and orbital cellulitis. Journal of Microbiology and Infectious Diseases, 4(3), 123–127.

3. American Academy Of Ophthalmology. (2017). Fundamentals and Principles of Ophthalmology. San Francisco, CA, E.E.U.U.: American Academy Of Ophthalmology.

4. American Academy Of Ophthalmology. (2017). Orbit, Eyelids, and Lacrimal System. San Francisco, CA, E.E.U.U.: American Academy Of Ophthalmology.

5. Bae C, Bourget D. (2017). Periorbital Cellulitis. StatPearls Publishing.

6. Benito, J., Montejo, M.. (2014). Celulitis preseptal y orbitaria. Pediatría Integral, 18, pp.108-114.

7. Danishyar A, Sergent SR. (2018). Orbital Cellulitis. StatPearls Publishing.

8. Ekhlassi, T., & Becker, N. (2017). Preseptal and orbital cellulitis. Disease-a-Month, 63(2), 30– 32.

9. Fanella, S., Singer, A., & Embree, J. (2011). Presentation and Management of Pediatric Orbital Cellulitis. Canadian Journal of Infectious Diseases and Medical Microbiology, 22(3), 97–100.

10. Gimeno, I., & Rojo, P. (2014). Celulitis preseptal y orbitaria. Anales de Pediatría Continuada, 12, 284–288.

11. Meara, D. J. (2012). Sinonasal Disease and Orbital Cellulitis in Children. Oral and Maxillofacial Surgery Clinics of North America, 24(3), 487–496.

12. Mejia E, Braiman M. (2018). Ocular Cellulitis. StatPearls Publishing.

13. Rashed, F., Cannon, A., Heaton, P. A., & Paul, S. P. (2016). Diagnosis, management and treatment of orbital and periorbital cellulitis in children. Emergency Nurse, 24(1), 30–35.

14. Sharma, A., Liu, E. S., Le, T. D., Adatia, F. A., Buncic, J. R., Blaser, S., & Richardson, S. (2015). Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era. Journal of American Association for Pediatric Ophthalmology and Strabismus, 19(3), 206–210.

15. Watts, P. (2016). Preseptal and orbital cellulitis in children. Paediatrics and Child Health, 26(1), 1–8.