A 6-Year Review on Preseptal and Orbital Cellulitis in Patients under 18 Years Old and the Use of Steroids in its Management within Our Tertiary Center in Abu Dhabi
Rawdha K. Al Nuaimi; Tin Chan; Fatima Habroosh; Manal Alzaabi; Abdelqadir Alali; Iman Alhammadi; Ashwaq Binamro
Sheikh Khalifa Medical City
Abu Dhabi, UAE
Introduction: The purpose of this study was to provide an analysis of paediatric patients with an orbital or preseptal infection, outcome of surgical intervention and the effect of steroid use on the duration of treatment. The causative organisms were analyzed.
Methods: The in-patient records were reviewed retrospectively from January 2011 to March 2017. The ocular findings, the duration of symptoms and hospital stay, microbiological culture reports, antibiotics, steroids used, surgical intervention, the response to therapy and complications were reviewed.
Results: A total of 37 patient records were reviewed. The inclusion criteria: <18 years old, diagnosis of preseptal or orbital cellulitis. The average age of patients at presentation was 5 years. 68% were preseptal and 32% were orbital cellulitis. Out of the orbital cellulitis cases, 50% underwent a surgical procedure with no complications. The range of inpatient stay was between 4-51 days (mean 6.86 days). 84% of the cultures came back negative but the causative organisms identified were streptococcus, micrococcus, haemophilus influenza, aspergillosis and actinetobacter baumanni.
Discussion: 30% of the patients received steroids and that did not influence the length of stay or prognosis compared to the 60% who did not receive steroids. It was noted that patients with orbital cellulitis (mean 13.1 days) had a longer inpatient duration compared to preseptal cellulitis (mean 3.88 days).
Conclusion: Based on the six-year review, it can be concluded that preseptal cellulitis remains the commonest among orbital infections and there was no benefit seen in the length of stay with steroid use.
References: Hodges E, Tabbara F (1989) Orbital cellulitis: review of 23 cases from Saudi Arabia. Br J Ophthalmol 73:205–208
TAYLOR AND HOYT’S PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS, FIFTH EDITION, 2017,,ELSEVIER. CHAPTER 14,PAGE 113-123,THE CHAPTER WAS COWRITTEN BY RICHARD SCAWN AND JIMMY M UDDIN, FROM. MOORFIELDS EYE HOSPITAL, LONDON