DR. SOMY PUROHIT

Dr.Sharmistha Behera, Dr. JAYASHREE DORA, Dr.Pramod Kumar Sharma

Abstract

AIM:To study clinicomicrobiological profile of orbital infections(OI) METHODS: Prospective study of all patients with OI attending Ophthalmology OPD over 2yrs,as regards age,comorbidity, etiology,symptoms,signs,clinical & micrbiological evaluation. RESULTS:Of 147 cases,80.2%(n=118)preseptal cellulitis,17.7%(n=26)orbital cellulitis,1.3%(n=2)mucormycosis & 0.6%(n=1)cavernous sinus thrombosis.OI have biphasic peak at 0-15yr(36.7%)& 40-60yr(22.4%).Commonest predisposing factor is trauma(28.6%),sinusitis(35.8%),dental abscess(25.8%)& DM(16.3%). Specimen from orbital aspiration(n=26),sinus irrigation(n=53),blood samples(n=147) gives positive results of bacterial culture(blood agar)in 65.3%,62.2% & 17% respectively.Staphylococcus aureus 26.5%(n=39),Streptococcus10.2%(n=15),Aspergillus fumigatus(n=2).CONCLUSION:A thorough clinical evaluation combined with diagnostic microbiological expertise would help curb maximum complications of OI KEYWORDS:OI,clinicomicrobiological study

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