Bacterial Infection In Eyes

 Periorbitalis cellulitis is an acute infection in the tissue around the eyes.
Orbitalis cellulitis is an acute infection in the eye bags.
Periorbitalis cellulitis does not cause proptosis (protrusion of the eyeball) and do not cause interference with the movement of the eyeball, but if not treated can develop into cellulitis orbitalis.

CAUSE
In children, cellulitis orbitalis usually derived from sinus infections caused by bacteria and Haemophilus influenzae.
Other organisms are Staphylococcus aureus, Streptococcus pneumoniae and beta hemolytic Streptococci.
Infants and children under the age of 6-7 years seems very susceptible to infection by Hemophilus influenzae.
Risk factors of infection by H. influenzae is a sinus infection and injury in the eyelid (due to insect bites or foreign body).

SYMPTOMS
Symptoms include:
- Fever, usually up to 38.9? Celsius or more
- The lids of the upper and lower eye swollen and painful
- Eyelid look shiny and red or purple
- A baby or child seems ill
- If the eye is moved, there will be pain
- Vision decreased (due to swollen eyelids cover the eyes)
- Protruding eyes
- Feeling unwell
- Eye movement becomes limited.

Diagnosis
Diagnosis based on symptoms and physical examination results.
- Check the usual: full blood examination
- Breeding and blood tests sensitivitias
- Pungsi lumbar (in very severe cases)
- X sinus and orbita
- CT scan or MRI sinus and orbita
- Breeding dirt eyes
- Breeding nasal mucus
- Breeding throat secretions.

TREATMENT
Patients should be treated in hospital.
Given intravenous fluids and antibiotics.
If formed abscess (the accumulation of pus), performed surgery to remove pus.
This infection is very rapid growth because it must be monitored closely.
If treated immediately, there will be a perfect recovery.
- Complications include: cavernosal sinus thrombosis
- Hearing loss
- Septicemia (blood infection)
- Meningitis (inflammation of the lining of the brain)
- Damage to the optic nerve and visual impairment.

PREVENTION
This disease can be prevented through immunization HiB vaccine to prevent Haemophilus infections in children.
Appropriate evaluation and early treatment of sinus infections and tooth can prevent the spread of infection to the eye.