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Orbital and preseptal cellulitis: a 10-year survey of hospitalized patients in a tertiary eye hospital in Iran

机译:眼眶和前房间隔蜂窝织炎:伊朗三级眼科医院住院患者的十年调查

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摘要

To evaluate the demographic and clinical features of orbital cellulitis (OC) and preseptal cellulitis (PC) in a tertiary eye hospital over a 10-year period. This is a retrospective study of files of patients defined as OC or PC admitted to Labbafinejad Hospital, Tehran, Iran, in which clinical specificities and results of treatment and complications were reviewed. A total of 93 records of patients with OC or PC were identified from 1997 to 2007. 42 % of the patients had orbital and 58 % had PC. OC was found to be twice as common in males but PC occurred equally in both sexes. The mean ages ± SD of patients with OC and PC were 27.4 ± 23.9 and 19.1 ± 23.3 years, respectively. 97.8 % of involvements were unilateral. The most common complaint of the patients was change in lid appearance and the most common season of involvement was spring in both groups. Sinusitis was the most common background in 53.8 % of OC and 24.1 % of PC patients, and the sinus most commonly involved was the ethmoid. Surgical intervention was needed in 48.7 % of orbital and 14.8 % of PC. The only complication seen in OC was external ophthalmoplegia in a case which needed operation. In our geographical region, orbital and PC are seen most frequently in young patients in spring and their most common background is ethmoiditis; complications may be prevented by appropriate medical and/or surgical management.
机译:在十年的时间里评估三级眼科医院眼眶蜂窝组织炎(OC)和前房间隔蜂窝组织炎(PC)的人口统计学和临床​​特征。这是对伊朗德黑兰拉巴芬贾德医院收治的定义为OC或PC的患者档案进行的回顾性研究,其中回顾了其临床特异性以及治疗结果和并发症。从1997年至2007年,共鉴定出93例OC或PC患者的记录。42%的患者有眼眶,58%的患者有PC。发现OC是男性的两倍,但PC在男性和女性中均相同。 OC和PC患者的平均年龄±SD分别为27.4±23.9和19.1±23.3岁。 97.8%的参与是单方面的。两组患者中最常见的主诉是眼睑外观改变,最常见的受累季节是春季。在53.8%的OC和24.1%的PC患者中,鼻窦炎是最常见的背景,而筛窦最常见。 48.7%的眼眶和14.8%的PC需要手术干预。 OC中唯一的并发症是需要手术的外部眼肌麻痹。在我们的地理区域中,春季的年轻患者中眼眶和PC最常见,其最常见的背景是筛窦炎。适当的医学和/或手术管理可以预防并发症。

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