title: A case of odontogenic orbital cellulitis causing blindness by severe tension orbit.
abstract: We report a very rare case of odontogenic orbital cellulitis causing blindness by severe tension orbit. A 41-yr old male patient had visited the hospital due to severe periorbital swelling and nasal stuffiness while he was treated for a periodontal abscess. He was diagnosed with odontogenic sinusitis and orbital cellulitis, and treated with antibiotics. The symptoms were aggravated and emergency sinus drainage was performed. On the next day, a sudden decrease in vision occurred with findings of ischemic optic neuropathy and central retinal artery occlusion. Deformation of the eyeball posterior pole into a cone shape was found from the orbital CT. A high-dose steroid was administered immediately resulting in improvements of periorbital swelling, but the patient's vision had not recovered. Odontogenic orbital cellulitis is relatively rare, but can cause blindness via rapidly progressing tension orbit. Therefore even the simplest of dental problems requires careful attention.
authors: Department of Ophthalmology, The Catholic University of Korea, Suwon, Korea.
authors: Chang Hyun
authors: CH
authors: Park
authors: Dong Hyun
authors: DH
authors: Jee
authors: Tae Yoon
authors: TY
authors: La
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use; D001766:Blindness / Q000175:diagnosis* / Q000209:etiology; D004322:Drainage; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D018917:Optic Neuropathy, Ischemic / Q000150:complications; D009915:Orbit / Q000503:physiopathology*; D054517:Orbital Cellulitis / Q000175:diagnosis*; D015356:Retinal Artery Occlusion / Q000150:complications; D012852:Sinusitis / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014092:Tooth Root
chemical_list: D000900:Anti-Bacterial Agents
keywords: Central Retinal Artery Obstruction; Ischemic Optic Neuropathy; Odontogenic Orbital Cellulitis; Tension Orbit
references: Trans Am Ophthalmol Soc. 1984;82:111-33
references: 6535319
references: Pediatr Rev. 2001 Apr;22(4):111-7
references: 11283323
references: Acta Ophthalmol Scand. 1995 Oct;73(5):470-1
references: 8751133
references: Laryngoscope. 2005 May;115(5):823-5
references: 15867647
references: J Clin Neurosci. 2001 Sep;8(5):469-71
references: 11535023
references: Ann Otol Rhinol Laryngol. 2007 May;116(5):386-8
references: 17561769
references: Ophthalmic Plast Reconstr Surg. 1991;7(4):256-60
references: 1764422
references: Otolaryngol Head Neck Surg. 2006 Sep;135(3):349-55
references: 16949963
references: Ophthalmic Plast Reconstr Surg. 2008 Jan-Feb;24(1):29-35
references: 18209637