EYE DISEASES : CELLULITIS OF THE EYELID AND ORBIT (PHLEGMONA ET PALPEBRARUM ORBITAE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. The introduction of infection in the subcutaneous tissue of the eyelids and orbit.
The pathogenesis. The spread of purulent process, most of the accessory sinuses of the nose, then eyes or face (furuncle, erysipelas, barley). Sometimes metastasis when General sepsis. Infected wounds of the orbit.
Symptoms. Strong swelling of the eyelids, chemosis, ectoplasm offset to the side, limited mobility. The temperature increase. General malaise.
For acute. After a few days the pus makes its way out through the skin or conjunctiva. Often goes on the eyeball with the picture panophthalmitis. Often more serious not only in relation to the eye, but for the life of the patient complication of cellulitis is thrombophlebitis of the orbit with extension to the cavernous sinus. Purulent meningitis.
From periostitis and Canonica has a more rapid disease progression and a strong ectoplasma.
First hot compress. Intravenous injection of 40% solution of hexamine. Energetic General treatment of penicillin (intramuscular injection of 10 to 15 million units). The autopsy phlegmon should be done as early as possible.