Study: Study design, patient population | ||||||||||
Nageswaran, et al[1]: Retrospective, children | Botting, et al[2]: Retrospective, children | Chaudhry, et al[3]: Retrospective¶, children and adults | Sobol, et al[4]: Retrospective, children | Seltz, et al[5]: Retrospective, children | ||||||
Type of cellulitis | Type of cellulitis | Type of cellulitis | Type of cellulitis | Type of cellulitis | ||||||
Preseptal | Orbital (n = 41) | Preseptal (n = 227) | Orbital (n = 35) | Preseptal (n = 104) | Orbital | Preseptal (n = 101) | Orbital (n = 26)Δ | Preseptal | Orbital (n = 94) | |
Age (yrs)◊ | 7.5 (range 0-16) | 3.9 | 7.5 | 19 (range 0-75) | 3.8 (range 0-16) | 6.4 (range 0-13) | 6 (range 0-18) | |||
History of trauma* | Excluded | 89 (39) | 4 (11) | 28 | Excluded | |||||
Eye pain and/or tenderness | 64 (62) | |||||||||
Eyelid swelling +/– erythema | 104 (100) | |||||||||
Proptosis | 25 (61) | 2 (0.9) | 33 (94) | 1 (1) | 20 (77) | 36 (38) | ||||
Ophthalmoplegia | 19 (46) | 1 (0.4) | 4 (11) | 1 (1) | 20 (77) | 45 (48) | ||||
Diplopia | 2 (0.9) | 19 (54) | ||||||||
Vision impaired | 0 | 1 (3) | 3 (3) | 3 (11) | 11 (12) | |||||
No ophthalmologic signs (proptosis, ophthalmoplegia, visual loss) | 11 (27) | |||||||||
Chemosis | 10 (11) | |||||||||
Fever | 27 (66) | 106 (47) | 33 (94) | Children 52 percent; adults 10 percent | 59 (59) | 18 (69) | 63 (67) | |||
White blood cell count >15,000 | 19 (46) | |||||||||
Sinusitis§ | 21 (9) | 32 (91) | ||||||||
Ethmoid sinusitis | 40 (98) | 30 (86) | 22 (86) | 87 (93) | ||||||
Maxillary sinusitis | 29 (71) | 21 (60) | 22 (86) | 84 (89) | ||||||
Subperiosteal abscess | 24 (59) | 12 (34) | Δ | 44 (47) | ||||||
Orbital abscess | 10 (24) | 2 (6) | 0 | 8 (8) | ||||||
>Surgical procedure | 29 (71) | 11 (5) | 8 (23) | 52 (50)¶ | 0 | 6 (23)Δ |
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