Tallat Najeeb, Zubair Khan, Sohail Sukhera.
Orbital Complications of Acute Sinusitis.
Ophthalmol Update Jan ;14(1):71-4.

Objective: To determine frequency of orbital complications in patients with acute sinusitis and to evaluate results after early surgical intervention. Material & Method: This cross sectional descriptive study conducted at ENT and Eye departments of Social Security Hospital, Rawalpindi and Maroof International Hospital, Islamabad during period of 2009 to 2015. Sampling was done by non-probability convenient type. Study included all the patients presented with acute sinusitis and with its orbital complications. CT scan was advised in all patients with orbital complications. Immediate ophthalmic consultation was taken. Orbital complications were divided into pre-septal and post-septal by using Chandler`s classification. Conservative treatment was given in cases of preseptal and immediate surgery was planned in all patients with postseptal complications and in preseptal disease not responding to medical treatment. Results: Out of 133 patients of acute sinusitis 24 patients presented with orbital complications. (class-I) Mean age was 26 years. 7 were female and 17 were male 6 (66%) patients presented with preseptal and 8 (33%) with postseptal complication. 4 with subperiosteal abscess and 3 with orbital cellulitis and one with unilateral 6th nerve palsy. Preseptal disease improved with conservative treatment. External ethmoidectomy was done in 7 cases and Endoscopic sinus surgery (ESS) in one case with unilateral 6th nerve palsy, persisted after surgery. Vision was 6/6 in all except in 3 patients with orbital cellulitis. All the cases were discharged on 7th post-operative day after ophthalmology consultation. Frequency of orbital complications in acute sinusitis was 15.05%. Using Chi square test, results were significant as p value was < .05. Conclusion: Ophthalmology consultation and CT scan should always be advised in patients with eyelid swelling to make early diagnosis. Antibiotic therapy, early surgical intervention is mandatory.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com