ISSN 0972-0200 Letter to editor A Case of Orbital Cellulitis due to Stye Afroz Khan, Rayees Ahmad Sofi Department of Ophthalmology, Registrar Government Medical College, Srinagar, Kashmir. India
Orbital Cellulitis is a clinical condition that arises usually as Comment a complication of a paranasal sinus infection and affects soft In cases of MRSA orbital cellulitis, the typical clinical setting tissues of the orbit , posterior to the orbital septum.1 Stye as of antecedent upper respiratory illness or traumatic injury a cause of orbital cellulitis though reported, is rare.2 may be absent and. Orbital cellulitis may be preceded by a boil in MRSA infections.3 Since orbital cellulitis is a serious Case Report disease which may lead to loss of vision, it warrants a prompt A 40 year old male presented with the complaints of swelling and aggressive management. Simple patholigies like boils around left eye for past 4 days, along with pain and loss of and furuncles should be taken due care and patients should vision since 2 days. (Figure 1) be warned against injudicious squeezing of such lesions.
Cite This Article as: Khan A, Sofi RA. A Case of Orbital Cellulitis due to Stye. Delhi J Ophthalmol 2016;26:220.
Acknowledgements: None
Date of Submission: 28.08.2015 Date of Acceptance: 29.10.2015
Conflict of interest: None declared
Source of Funding: Nil
References
1. Kanski JJ, Bowling B.Clinical ophthalmology A systemic approach. 7th Ed. Philadelphia: Elsevier; 2010. 2. John Green Jr .Orbital cellulitis following hordeolum . Trans Am Ophthalmol Soc 1925; 23:233-9. 3. Mathias MT, Horsley MB, Mawn LA, Lacquis LA, Cahil KV, Foster J et al. Atypical presentations of orbital cellulitis caused by methicillin resistant Staphylococcus aureus. Ophthalmology Figure 1: Left eye at presentation 2012; 119:1238-43. This had been preeced by a small swelling in the left upper lid a day before. On examination, the left eye Corresponding author: had no light perception, moderate proptosis, complete Afroz Khan MS absence of ocular movements, afferent pupillary defect, Associate Professor, Department of Ophthalmology, normal intraocular pressure and optic disc edema. The Government Medical College, Srinagar, Kashmir, India right eye was normal. Haemogram showed leukocytosis E mail: [email protected] with increased polymorphs and methillin resistant staph aureus (MRSA) was isolated on pus culture. MRI orbit revealed a hyperintense lesion in the retrobulbar space with homogenous enhancement of retrobulbar tissues. The patient was diagnosed as left orbital cellulitis with optic neuropathy. Administration of intravenous and topical antibiotics resulted in recovery of cellulitis but not of vision. Access this article online Quick Response Code Website www.djo.org.in
DOI http://dx.doi.org/10.7869/djo.176
Del J Ophthalmol - Vol 26 No: 3 January-March 2016 220