Year : 2014  |  Volume : 22  |  Issue : 1  |  Page : 50-55

Management of bilateral orbital cellulitis in a 41-year-old man

1 Chaha Eye Hospitals, Kaduna, Nigeria
2 Department of Ophthalmology, Abuth Shika, Nigeria
3 Department of Dental Surgery, Abuth Shika, Nigeria

Correspondence Address:
Kator Chaha
Chaha Eye Hospitals, Kaduna
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-9171.142758

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Orbital cellulitis is the inflammation of the tissues of the eye behind the orbital septum. The disease is mainly caused by either bacteria or fungal organisms. Orbital cellulitis is an emergency condition that requires prompt hospitalization and appropriate antibiotic cover without which there will be visual loss and even death! It affects all ages but more common with the younger age groups and males are more prone to the disease. It is a unilateral disease commonly but in rare situations both eyes are affected. We report a case of a bilateral disease in a healthy middle-aged man who presented with fevers, diminished vision, eye pains, lid swellings, severe ptosis, axial proptosis and ophthalmoplegia in both eyes. Our impression was that of Class 5 orbital cellulitis according to Chandler's classification. His laboratory investigations revealed positive growths of Staphylococcus otherwise his laboratory investigations were all normal. He responded well to intravenous cefuroxime and oral oflaxacin and metronidazole with diclofenac and was discharged from hospital within 1 week. We conclude that prompt hospitalization and appropriate intravenous and oral antibiotics can successfully treat this orbital emergency.

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