Orbital cellulitis natural history, complications and prognosis: Difference between revisions
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Revision as of 21:55, 26 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Natural History, Complications and Prognosis
The feared complications include cavernous sinus thrombosis and meningitis. Abscess formation is another complication and may require surgical drainage.
Complications include hearing loss, blood infection, meningitis, and optic nerve damage (which could lead to blindness).
Although orbital cellulitis is considered an ophthalmic emergency the prognosis is good if prompt medical treatment is received.
Death and blindness rates without treatment
Bacterial infections of the orbit have long been associated with a risk of catastrophic local sequelae and intracranial spread.
The natural course of the disease, as documented by Gamble (1933), in the pre-antibiotic era, resulted in death in 17% of patients and permanent blindness in 20%.