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Related Experiment Video

Updated: Dec 14, 2025

Induction of Ocular Surface Inflammation and Collection of Involved Tissues
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Odontogenic orbital inflammation.

Victor Vlad Costan1, Camelia Margareta Bogdănici2, Liliana Gheorghe3

  • 1Discipline of Oro-Maxillo-Facial Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, Iași, Romania; "Sf. Spiridon" Hospital, Iaşi, Romania.

Romanian Journal of Ophthalmology
|July 21, 2020
PubMed
Summary

Odontogenic orbital inflammation, often stemming from dental infections, presents with swelling, vision loss, and restricted eye movement. Prompt, multidisciplinary treatment is crucial for favorable outcomes.

Keywords:
odontogenicorbital cellulitisorbital decompression

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Area of Science:

  • Ophthalmology
  • Oral and Maxillofacial Surgery
  • Infectious Diseases

Background:

  • Odontogenic orbital inflammation is a severe condition requiring prompt diagnosis and management.
  • Dental infections can spread to the orbit, causing significant ocular complications.

Purpose of the Study:

  • To identify common clinical and computed tomography (CT) findings in odontogenic orbital inflammation.
  • To determine the most effective treatment strategies for this condition.

Main Methods:

  • A retrospective case-series study involving 3 patients (ages 16-55) with odontogenic orbital inflammation.
  • Investigations included visual acuity, ocular motility, slit-lamp examination, fundus examination, intraoral examination, and CT scans.

Main Results:

  • Patients presented with periorbital swelling, conjunctival chemosis, proptosis, pain, decreased vision, and restricted ocular motility.
  • CT scans revealed orbital/periorbital cellulitis and sinusitis. All patients underwent dental extraction, drainage, and orbital decompression with favorable outcomes, except for one with optic nerve atrophy.

Conclusions:

  • Early recognition of clinical features and etiologies of odontogenic orbital inflammation is vital for ophthalmologists and maxillofacial surgeons.
  • Delayed treatment of dental infections can lead to severe orbital complications, necessitating a multidisciplinary approach.