ABSTRACT
Inflammation of the ocular structures behind the orbital septum is called orbital cellulitis. Etiological agents are usually bacteria and fungi. It affects persons of all ages but has greater prevalence in younger males. Rarely it affects both eyes. We report a middle aged female who presented with uniocular swelling and was later on diagnosed as pansinusitis with bilateral orbital cellulitis. Aggressive therapy with antibiotics and surgical drainage saved the patient.Inflammation of ocular tissues behind or posterior to the orbital septum is called orbital cellulitis. Orbital cellulitis differs from preseptal cellulitis by causing inflammation of the tissues proximal to the orbital septum. The clinical features of orbital cellulitis include, proptosis, generalized malaise, conjunctival chemosis, ocular pain, blurred vision, headaches, fever, lid swelling and ophthalmoplegia. [1] The inflammation can cross to the other orbit through cavernous sinus. The condition can cause loss of ocular function and death. Therefore, it should be considered an emergency. Approximately 11% of cases of orbital cellulitis result in visual loss.[1,2]