Beware of Orbital Cellulitis in Children, To Avoid Blindness

Swelling and redness in the child's eyelids can be caused by various things , m from dangerous conditions to serious conditions that can cause blindness. Therefore, it is important for parents to detect swelling and redness in the child's eyelids.

One of the eye symptoms with swollen and red symptoms that are at risk of causing blindness is orbital cellulitis. Orbital cellulitis is an infection of the tissue in the eyeball cavity. This disease most often occurs when a bacterial infection in the sinus cavity (sinusitis) spreads to the eyeball cavity.

Beware of Orbital Cellulitis in Children, To Avoid Blindness

In addition to infections in the sinus cavity, infections in other tissues, such as the skin of the eyelids, eyeball, or upper respiratory tract, can also spread to eyeball cavity and cause orbital cellulitis. Besides infection, injury or trauma around the face can also cause orbital cellulitis.

Orbital Cellulitis Symptoms

Parents need to be vigilant if their child's eyes appear red and his eyelids are swollen, especially if the child has just had an respiratory, ear, and tooth infection, or a facial injury.

In addition to swollen red eyes and eyelids, other symptoms that appear in orbital cellulitis are:

  • Pain when moving the eyeball
  • The eyeball looks more prominent
  • The upper eyelid goes down (looks glazed)
  • Double vision
  • Blurred vision

Children who have orbital cellulitis can also experience fever, feel weak and nauseous, and vomit.

If complaints arise above , immediately consult an ophthalmologist, because orbital cellulitis can cause nerve and blood vessel disorders, as well as wounds in the eye's mucous membranes (corneal ulcer) which can lead to fatigue. aan. In addition, the infection in the eye cavity can also spread to the lining of the brain and cause meningitis which is fatal.

The ophthalmologist will perform an eye examination, ranging from visual acuity, visual field of vision, eyeball movement, ball pressure eyes, to the severity of bulging of the eyeball (measurement of proptosis).

If necessary, the ophthalmologist can carry out a follow-up examination in the form of blood tests and bacterial cultures to determine the type of bacteria that causes it, so that appropriate treatment can be determined. CT imaging can be done if the therapy is not successful in dealing with complaints.

Orbital Cellulitis Treatment

Children who have orbital cellulitis need to be treated at home sick so that his condition can continue to be monitored. During treatment, the doctor will give an antibiotic infusion to kill the bacteria.

The type of antibiotic given depends on the type of bacteria that attacks, and can change during treatment, according to bacterial culture examination.

If the condition improves after two days, an antibiotic that is initially given by infusion can be replaced into a tablet that is taken by mouth. If pus (abscess) arises at the site of infection and pus does not disappear with medication, surgery can be performed.

Even though pus appears, orbital cellulitis can often improve only with antibiotics. However, there are a number of conditions that can be taken into account by ophthalmologists to perform surgery, including:

  • Age of children over 9 years
  • Eyeball movements limited
  • Increased pressure in the eyeball
  • A visual impairment

Orbital cellulitis can heal well and leave no effects later when treated quickly. Therefore, immediately consult your child with an ophthalmologist if his eyes appear swollen, especially if accompanied by a visual impairment.

Written by:

dr. Dian Hadiany Rahim, SpM
( Ophthalmologist )

Label : Health cat_Health

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