A Case of Orbital Cellulitis due to Stye

Abstract

This had been preeced by a small swelling in the left upper lid a day before. On examination, the left eye had no light perception, moderate proptosis, complete absence of ocular movements, afferent pupillary defect, normal intraocular pressure and optic disc edema. The right eye was normal. Haemogram showed leukocytosis with increased polymorphs and methillin resistant staph aureus (MRSA) was isolated on pus culture. MRI orbit revealed a hyperintense lesion in the retrobulbar space with homogenous enhancement of retrobulbar tissues. The patient was diagnosed as left orbital cellulitis with optic neuropathy. Administration of intravenous and topical antibiotics resulted in recovery of cellulitis but not of vision. Comment In cases of MRSA orbital cellulitis, the typical clinical setting of antecedent upper respiratory illness or traumatic injury may be absent and. Orbital cellulitis may be preceded by a boil in MRSA infections.3 Since orbital cellulitis is a serious disease which may lead to loss of vision, it warrants a prompt and aggressive management. Simple patholigies like boils and furuncles should be taken due care and patients should be warned against injudicious squeezing of such lesions.