Orbital phlegmon
| Classification according to ICD-10 | |
|---|---|
| H05.0 | Acute inflammation of the orbit |
| ICD-10 online (WHO version 2019) | |
The orbital cellulitis is a rare and dangerous disease of the eye socket ( orbit ). Quick detection and effective treatment are essential. Diagnostic or therapeutic errors can result in blindness or death.
Clinically typical symptoms are: chemosis , hyperemia of the conjunctiva , eyelid swelling, exophthalmos , reduced mobility of the affected eye, double vision, severe pain, loss of vision and fever .
The most common cause is sinusitis . In small children, instead of orbital phlegmon, there is often only a preseptal (periorbital) infection, often in connection with respiratory diseases. Other causes can also be skin infections, infected barley grains , skin injuries or foreign bodies as well as an orbit abscess in the eye socket.
Dreaded complications of orbital phlegmon are sinus thrombosis , meningitis and septicemia .
Inpatient admission and precise clarification is essential, as is the initiation of parenteral infusion therapy with antibiotics .
literature
- P. Fechner, K. Teichmann: Medicinal eye therapy: Basics and practice. Enke in Georg Thieme Verlag, 4th edition 2000. ISBN 978-3-13-117924-1 .
- Marianne Abele-Horn: Antimicrobial Therapy. Decision support for the treatment and prophylaxis of infectious diseases. With the collaboration of Werner Heinz, Hartwig Klinker, Johann Schurz and August Stich, 2nd, revised and expanded edition. Peter Wiehl, Marburg 2009, ISBN 978-3-927219-14-4 , p. 116 ( Orbita ).
