Dr. SUDESH KUMAR ARYA

DR. KHUSHBOO SHEORAN, Dr.PARRINA SEHGAL, Dr.Ujjwal Prakash Jha

Abstract

Purpose: To report a case of bilateral orbital cellulitis developing cavernous sinus thrombosis (CST) in left eye.

Material and Methods: A 38 years old male presented with pain, redness, discharge and decreased vision In left eye since 3 days without any other history. Best corrected visual acuity in RE was 6/9 while in left eye there was no light perception. LE showed extensive lid oedema with moderate proptosis, restricted ocular movements , grade 4 RAPD and ophthalmic artery occlusion. RE had mild lid oedema. MRI brain revealed signs of CST.

Results: Immediate intravenous antibiotics ceftriaxone 2 gm BD, metronidazole 500 mg TDS and vancomycin 1 gm BD , topical moxifloxacin 0.5% QID , I/V anticoagulant enoxaparin 60 mg BD were started. There was decreased proptosis and improved ocular motility with resolved CST in one week.

Conclusion: Early diagnosis and prompt treatment can be life saving in patients with orbital cullulitis leading to CST.