All issues > Volume 33(7); 1990

Original Article

J Korean Pediatr Soc. 1990;33(7):932-939. Published online July 31, 1990.

Orbital Infections in Children.

Hak Won Kim¹, Young Tae Kim¹, Sung Hee Oh¹, Ha Baik Lee¹

¹Department of Pediatrics, Hanyang University, College of Medicine, Seoul, Korea

Received: February 3, 1990;  Accepted: March 10, 1990.

Abstract

Seven pediatric patients with orbital infections who were managed at the Hanyang University Hospital from April 1981 to June 1988 were reviewed. The summary of the study were as follows. 1) Seven patients were distributed between 3 months to 14 years of age and four were male. 2) Conditions associated with orbital infections were furuncles (eyelid, nasal cavity, finger), upper respiratory tract infections, and extraction of dental caries. 3) Clinical Symptoms and signs were edema and tenderness around the orbit, chemosis, proptosis, orbital pain, limitation of motion of eyeball, purulent discharges from eye and nose, and fever. 4) All of the five patients in whom the evaluation for sinusitis were attempted had sinusitis ipsilaterally. 5) According to the classification of orbital infection by Chandler et al, two patients were group I, two group II, two group III, and one group IV. Group III orbital infection in one patient was further progressed to group IV. 6) The results of the treatment with antibiotics alone were good in two group I, two group II and one group III orbital infections. In patient 6, group III orbital infection was progressed to group IV while on massive antibiotics. The patient was eventually recovered with no surgical intervention only after prolonged antibiotics administration and remained with decreased visual acuity. As contrasted, in patient 7, group IV orbital infection improved promptly with early surgical intervention and concomittent antibiotic administration with no evident complications.

Keywords :Periorbital cellulitis, Orbital cellulitis, Subperiosteal abscess, Orbital abscess