A Study on Orbital Cellulitis Due to Acute Sinusitis: A Multidisciplinary Approach

ABSTRACT

Introduction: Orbital infection has spread beyond the orbital septum leads to orbital cellulitis. The distinctive features of orbitalcellulitis are proptosis and limitation of ocular movements. Additional useful signs are chemosis of bulbar conjunctiva, reducedvisual acuity, afferent pupillary defect, and toxic systemic symptoms. Prompt diagnosis and treatment of orbital cellulitis is vitalas it is associated with serious complications such as cavernous venous thrombosis, visual loss, meningitis, brain abscess,and sepsis.Aims and Objectives: The purpose of this study is to evaluate clinical presentation, treatment outcomes, and post-surgicalcomplications of diagnosed case of orbital cellulitis.Materials and Methods: This is a cross-sectional study of patients with orbital cellulitis as a complication of acute sinusitis. Allthe patients were subjected to thorough clinical examination, ophthalmic and radiological evaluation. Computed tomographyof paranasal sinuses done. All the patients in this study received appropriate medical and surgical management and follow-upevaluation done at the 1st month and 3 months.Results: Orbital cellulitis due to fungal sinusitis is prevalent among uncontrolled type 2 diabetes mellitus patients in our study.Surgical management such as endoscopic sinus surgery with intravenous antibiotic therapy found to be more effective thanconservative management alone.Conclusion: Strict diabetic control, appropriate surgical and medical management, and a vigilant follow up resulted to a better outcome.