Orbital Abscess in a 2-month-old Neonate: 1 Case Report.

Shin, Min Cheol; Cho, Hyon Hoo

Case Report

Journal of the Korean Ophthalmological Society 1998;39(1):193-196.
Published online January 1, 1998.

Orbital Abscess in a 2-month-old Neonate: 1 Case Report.

Min Cheol Shin, Hyon Hoo Cho

Department of Ophthalmology, School of medicine, Hallym University, Chun-Chon, Korea.

2개월 영아에서 발생한 안와농양 1례

신민철(Min Cheol Shin),조현후(Hyon Hoo Cho)

Abstract

Although orbital abscess may originate from a number of sources, acute paranasal sinus disease is the most common source of infection. The clinical presentation is eyelid swelling, proptosis, conjunctival chemosis, diplopia, and decreased visual acuity. Diagnostic methods available for evaluating orbital abscess include sinus X-ray, ultrasound, computed tomography(CT), and bacterial culture of abscess content. Orbital abscess is treated with systemic antibiotics, or surgical draining followed by intravenous antibiotic therapy. Prompt diagnosis and treatment are necessary to prevent meningitis, subdural abscess, cavernous sinus thrombosis, frontal sinus thrombosis, visual loss from increased intraorbital pressure, even death. The authors exprienced a 2-month-old female neonate who presented with eyelid swelling, erythema, propotsis, eyeball deviation on right eye. Her orbital CT disclosed orbital abscess and only systemic intravenous antibiotics and topical antibiotic eyedrop instillation improved the symptoms.

Key Words: Acute paranasal sinus disease;Neonate;Orbital abscess