Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Orbital infections: review of 28 cases

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Session Details

Session Title: Presented Poster Session: Endophthalmitis/Ocular Infections

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 15:40

Venue: Poster Village: Pod 3

First Author: : N.Abroug TUNISIA

Co Author(s): :    A. Mahmoud   S. Gargouri   S. Zina   B. Jelliti   R. Kahloun   M. Khairallah

Abstract Details

Purpose:

To study epidemiologic data and outcome of orbital infections (OI) in a tertiary eye care center.

Setting:

Department of Ophthalmology, FattoumaBourguiba University Hospital, Monastir, Tunisia

Methods:

Retrospective study of 28 patients (28 eyes) with OI. All patients underwent detailed ophthalmic examination, otolaryngology examination, and cranio-orbital computed tomography scan. All patients received parenteral probabilistic antibiotic treatment then adapted depending on the sensitivity of antibiogram and clinical evolution, associated or not to corticosteroid treatment. The mean follow-up was 14 months.

Results:

Mean age of our patients was 35.9 years. Rretroseptal cellulitis was the most common (67.8%). Subperiosteal or orbital abscess was recorded in 28.6% of the cases. Sinusitis was the most common etiology (39.3%). Treatment was based on empirical broad spectrum systemic antibiotics in all cases. Surgical management was performed in 39.3% of cases. Bacteriological samples were obtained for 28.5% of patients, with Staphylococcus aureus the most frequently isolated pathogen (62.5%). The evolution was favorable in 92.8% of the cases and improvement of visual acuity in 82% of cases. Causes of poor visual outcome were corneal perforation, cataract and retinal detachment.

Conclusions:

In our series, OI affects children and young adults. Their prognosis is generally favorable provided rapid and appropriate management.

Financial Disclosure:

NONE

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