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Related Experiment Videos

Orbital cellulitis with gas.

Rizwan A. Cheema1, Andrew D. Lukaris, Carol M. Lane

  • 1Cardiff Eye Unit, University Hospital of Wales, Cardiff, United Kingdom

Orbit (Amsterdam, Netherlands)
|June 5, 2002
PubMed
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Orbital cellulitis with gas in the orbit often leads to poor vision. This case shows successful visual recovery in a pediatric patient with prompt antibiotics and surgical decompression for orbital cellulitis caused by H. influenzae.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Pediatric Surgery

Background:

  • Orbital cellulitis with gas-producing organisms typically results in poor visual outcomes.
  • Gas in the orbit on computed tomography (CT) scans indicates a severe infection.

Purpose of the Study:

  • To report a case of successful visual recovery in a pediatric patient with orbital cellulitis and intraorbital gas.

Main Methods:

  • A 14-year-old male with orbital cellulitis and gas on CT scan was treated with intravenous antibiotics and immediate orbital decompression.
  • Pus cultures identified H. influenzae and Gram-negative bacilli.
  • A repeat surgery was performed for drainage of a residual abscess.

Main Results:

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  • The patient experienced complete visual recovery.
  • Prompt surgical intervention and antibiotic therapy were crucial.

    • Conclusions:

    • Orbital cellulitis with gas, even in severe cases, can achieve successful visual outcomes with timely and aggressive management.
    • Aggressive surgical decompression and appropriate antibiotic selection are vital for treating orbital cellulitis with gas-producing organisms.