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Objectives: Orbital infections are regularly encountered and are managed by various healthcare disciplines. Sepsis of the orbit and adjacent tissues can be associated with considerable acute complication and long-term sequelae. Therefore, prompt recognition and management of this condition are crucial. This article presents the outcomes of a 7-year complete cycle audit project and describes the development of the new local guideline on the management of orbital infections in our tertiary centre.
Methods: (1) A retrospective 5-year audit cycle on patients with orbital infections. (2) A review of available evidence on the management of orbital infections. (3) A new local multidisciplinary guideline on the management of orbital infections. (4) A retrospective 2-year second audit cycle to assess the clinical outcomes.
Results: Various disciplines intersect in the management of orbital infections. Standardising the management of this condition proved to be achievable through the developed guideline. However, room for improvement in practice exists in areas such as the promptness in referring patients to specialist care, the multidisciplinary assessment of patients on admission, and the improvement of scanning requests of patients.
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http://dx.doi.org/10.1007/s00405-018-5025-1 | DOI Listing |
Ophthalmic Plast Reconstr Surg
September 2025
The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Purpose: To assess the utility of inflammatory marker levels in defining orbital cellulitis (OC) severity.
Methods: A retrospective cohort study was conducted at 2 tertiary care centers using a medical record search of billing codes from January 1, 2000, to January 1, 2023. Patients were categorized into 2 cohorts-uncomplicated OC and OC with complication [subperiosteal abscess (SPA), orbital abscess (OA), or cavernous sinus thrombosis (CST)].
J Trauma Inj
September 2025
Department of Oral and Maxillofacial Surgery, Coorg Institute of Dental Sciences, Virajpet, India.
Orbital trauma can result in significant complications, particularly when accompanied by foreign body entrapment. Wooden foreign bodies are rare but carry a high risk of infection and chronic inflammation. In these cases, immediate surgical intervention is critical for restoring orbital anatomy and preventing complications.
View Article and Find Full Text PDFCureus
July 2025
Operative Dentistry, KRL (Khan Research Laboratories) Hospital, Islamabad, PAK.
Objective This retrospective study aims to evaluate the functional and visual outcomes of patients undergoing orbital floor fracture repair using titanium mesh implants. Methods Medical records of patients treated over four years for isolated or combined orbital floor fractures using titanium mesh were reviewed. Clinical outcomes assessed included diplopia, enophthalmos, ocular motility, and visual acuity, both pre- and postoperatively.
View Article and Find Full Text PDFTrauma Case Rep
October 2025
Neurosurgery, Dhaka Medical College Hospital, Dhaka, Bangladesh.
When a deadly non-missile object like a teta gets impacted in the maxillofacial region, the management becomes challenging. This region has a complex anatomical structure with high vascularity and contains vital structures like the orbit and airway. To avoid ophthalmic or neurological abnormalities in addition to the risk of infection and bleeding, accurate clinical and radiological diagnosis and optimal surgical techniques with postoperative management are crucial.
View Article and Find Full Text PDFOphthalmic Plast Reconstr Surg
August 2025
Department of Ophthalmology, Baylor College of Medicine.
Purpose: To characterize the presentation, management, epidemiology, and long-term outcomes of periocular dog bites in 150 pediatric patients at a tertiary referral center, Texas Children's Hospital in Houston, Texas.
Methods: We performed a retrospective chart review from 2011 to 2024 of patients with a diagnosis of "dog bite" or one of 120 eye-related International Classification of Disease (ICD)-10 codes, and an inpatient ophthalmology consult. We collected data on clinical presentation, work-up, management, and outcomes.