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Risk factors of preseptal and orbital cellulitis
Tariq Farooq Babar1, Mir Zaman, Mohammad Naeem Khan
1Department of Ophthalmology, Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar. tariqbabar1@hotmail.com
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 20, 2009
Summary
Insect bites and trauma are key risk factors for preseptal and orbital cellulitis in children and adults. Understanding these causes helps in managing eye infections and preventing complications like vision loss.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Preseptal and orbital cellulitis are common infections affecting the eye area.
- Identifying risk factors is crucial for effective treatment and prevention.
Purpose of the Study:
- To determine the incidence and primary risk factors associated with preseptal and orbital cellulitis.
- To analyze differences in risk factors between pediatric and adult patient groups.
Main Methods:
- A cross-sectional analytical study was conducted from July 2003 to December 2006.
- Patients aged 6-40 years diagnosed with preseptal or orbital cellulitis were divided into two age groups (6-16 and 17-40 years).
- Risk factors including trauma, insect bites, infections, and post-surgical causes were recorded and analyzed.
Main Results:
- Orbital cellulitis occurred in 0.1% of total admissions.
- In younger patients (Group I), insect bites were common for preseptal cellulitis, and trauma for orbital cellulitis.
- In older patients (Group II), trauma was the leading cause for preseptal cellulitis, and sinusitis for orbital cellulitis.
- Complications included cicatricial ectropion (44.4%) and orbital abscess (41.1%).
Conclusions:
- Insect bites are a significant cause of preseptal cellulitis in younger individuals, while trauma is more prevalent in older patients.
- Trauma is a key factor in orbital cellulitis for younger patients, whereas sinusitis is a major cause in older patients.
- Effective management strategies should consider age-specific risk factors for cellulitis around the eye.
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