Subperiosteal abscess of the orbit. Arch Ophthalmol 1983 May;101(5):751-7
Date
05/01/1983Pubmed ID
6847463DOI
10.1001/archopht.1983.01040010751010Scopus ID
2-s2.0-0020519126 (requires institutional sign-in at Scopus site) 150 CitationsAbstract
Seven cases of subperiosteal abscess (SPA) of the orbit are reported. Anatomic relationships shared by the orbits, paranasal sinuses, and facial venous system explain the rapid development of SPA after periorbital infection. Computed tomography and echography allow distinction between SPA and other stages of orbital inflammation that are often indiscriminately grouped under the rubric of orbital cellulitis. These techniques suggest that elevated orbital pressure is the primary, and potentially reversible, mechanism of visual impairment produced by SPA. Difficulty in accurately determining the responsible pathogens, relative isolation of the subperiosteal space with regard to antibiotic penetration, and risk of precipitous visual loss require prompt surgical drainage in most cases.
Author List
Harris GJAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbscessAcute Disease
Adolescent
Adult
Anti-Bacterial Agents
Child
Female
Humans
Infant
Infant, Newborn
Male
Orbital Diseases
Periosteum
Sinusitis
Tomography, X-Ray Computed
Ultrasonography