1. A Case of Orbital Cellulitis with an Underlying Intraconal Tumour: An Unlikely Co-existence
- Author
-
Anuradha Singh, Shailesh Mogra, Vishal Chaudhary, and Deepti Singh
- Subjects
haemangioma ,imaging ,proptosis ,Medicine - Abstract
Orbital cellulitis is an acute onset, rapidly progressive and potentially sight-threatening disease of the eye. It is more prevalent in developing regions and low socio-economic strata and may be associated with a host of other systemic diseases, such as paranasal sinus or dental infections, diabetes mellitus, urinary tract infections and sepsis. Often, orbital cellulitis is associated with an orbital or periosteal abscess, which can be diagnosed with orbital imaging and may sometimes require drainage to relieve the pressure. A 63-year-old male patient presented with orbital cellulitis of the right eye. The patient did not reveal any focus of infection upon investigation. Orbital imaging revealed a well-defined intraconal tumour with contrast enhancement, abutting but not involving the optic nerve, likely a cavernous haemangioma. The patient was admitted and managed with parenteral antibiotics, showing an excellent response to treatment. Given that the clinical signs did not support a benign tumour, repeat imaging was performed and again favoured a cavernous haemangioma. Presently, the patient is asymptomatic with slight proptosis and is under observation. This is an uncommon and interesting presentation of proptosis with a hyperacute cause superimposed on a more chronic lesion.
- Published
- 2024
- Full Text
- View/download PDF