Gutiérrez-Gómez C, Rivas-León B, Cárdenas-Mejía A, Figueroa-Padilla J, Del HCE

Language: Spanish
References: 7
Page: 86-91
PDF size: 353.19 Kb.

ABSTRACT

Periorbital cellulitis is a relatively common and potentially serious ophthalmologic emergency, defined as an infection anterior to the orbital septum involving the eyelid and periocular soft tissues. We present two cases of periorbital cellulitis, with a review of the literature, management guidelines and sequelae of this condition. A 46-year-old man who had periorbital pain, pruritus, progressive increase in volume in the right orbital region, with a history of self-medication. The patient used a toupee. Intense epiphora, chemosis, hyperthermia, and leukocytosis were found, when he was admitted to hospital. Cellulitis, secondary to skin trauma, was diagnosed. This produced an ulcer and a severe inflammatory process in the right side of the face, with significant involvement of the right orbital region. It was managed jointly with the infectology service. He presented eschar on the right upper eyelid, which required surgical lavage, debridement, and application of a full thickness graft. Given the complexity of the orbital region, this case raised the importance of establishing timely management aimed at solving the etiology of the problem and joint management with different specialties, to avoid severe sequelae, such as vision loss or sepsis. In the same way, a 77-year-old woman with a history of facial trauma, who presented an inflammatory process of 4 months of evolution, was treated. A foreign body (wood) was found in the upper left eyelid, which raised the importance of managing these injuries by a specialist for optimal management.

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