A Case of Odontogenic Orbital Cellulitis Causing Blindness by Severe Tension Orbit
Journal of Korean Medical Science
;
: 340-343, 2013.
Article
in English
| WPRIM
| ID: wpr-88620
ABSTRACT
We report a very rare case of odontogenic orbital cellulitis causing blindness by severe tension orbit. A 41-yr old male patient had visited the hospital due to severe periorbital swelling and nasal stuffiness while he was treated for a periodontal abscess. He was diagnosed with odontogenic sinusitis and orbital cellulitis, and treated with antibiotics. The symptoms were aggravated and emergency sinus drainage was performed. On the next day, a sudden decrease in vision occurred with findings of ischemic optic neuropathy and central retinal artery occlusion. Deformation of the eyeball posterior pole into a cone shape was found from the orbital CT. A high-dose steroid was administered immediately resulting in improvements of periorbital swelling, but the patient's vision had not recovered. Odontogenic orbital cellulitis is relatively rare, but can cause blindness via rapidly progressing tension orbit. Therefore even the simplest of dental problems requires careful attention.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Sinusitis
/
Tooth Root
/
Fluorescein Angiography
/
Retinal Artery Occlusion
/
Tomography, X-Ray Computed
/
Drainage
/
Blindness
/
Optic Neuropathy, Ischemic
/
Orbital Cellulitis
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2013
Type:
Article
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