ISSN 0972-0200 Letter to editor A Case of Orbital due to Stye Afroz Khan, Rayees Ahmad Sofi Department of , 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 , the typical clinical setting tissues of the , 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 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 around left eye for past 4 days, along with 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 . 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 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 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 . Administration of intravenous and topical 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