A Case of Odontogenic Orbital Cellulitis Causing Blindness by Severe Tension Orbit

• Published in: Journal of Korean medical science Vol. 28; no. 2; pp. 340 - 343
• Main Authors: Park, Chang Hyun, Jee, Dong Hyun, La, Tae Yoon
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 01.02.2013; 대한의학회
• Subjects: Adult; Anti-Bacterial Agents - adverse effects; Anti-Bacterial Agents - therapeutic use; Blindness - diagnosis; Blindness - etiology; Case Report; Drainage; Fluorescein Angiography; Humans; Male; Optic Neuropathy, Ischemic - complications; Orbit - physiopathology; Orbital Cellulitis - diagnosis; Retinal Artery Occlusion - complications; Sinusitis - diagnosis; Sinusitis - drug therapy; Tomography, X-Ray Computed; Tooth Root; 의학일반; Odontogenic Orbital Cellulitis; Central Retinal Artery Obstruction; Ischemic Optic Neuropathy; Tension Orbit
• ISSN: 1011-8934; 1598-6357; 1598-6357
• DOI: 10.3346/jkms.2013.28.2.340

We report a very rare case of odontogenic orbital cellulitis causing blindness by severe tension orbit. A 41-yr old male patient had visited the hospital due to severe periorbital swelling and nasal stuffiness while he was treated for a periodontal abscess. He was diagnosed with odontogenic sinusitis and orbital cellulitis, and treated with antibiotics. The symptoms were aggravated and emergency sinus drainage was performed. On the next day, a sudden decrease in vision occurred with findings of ischemic optic neuropathy and central retinal artery occlusion. Deformation of the eyeball posterior pole into a cone shape was found from the orbital CT. A high-dose steroid was administered immediately resulting in improvements of periorbital swelling, but the patient's vision had not recovered. Odontogenic orbital cellulitis is relatively rare, but can cause blindness via rapidly progressing tension orbit. Therefore even the simplest of dental problems requires careful attention.