July 27, 2021

COVID-19 as possible cause of orbital cellulitis

By: Judy Mathias

Editor's Note

In this case study, craniofacial surgeons from Brazil describe their experience with a 28-year-old COVID-19-positive man who developed orbital cellulitis, requiring surgical intervention.

A few weeks before, the man had a mild illness with fatigue and loss of smell and taste. He didn’t seek medical care until he developed a headache and swelling around the eye. He was diagnosed with COVID-19 and sinusitis.

Sponsored Message

Despite antibiotics, the swelling worsened until his eye was swollen shut. A CT scan showed a collection of fluid that was putting pressure on the globe.

The surgeons performed urgent surgery, using a small incision to drain the fluid and pus, and started IV antibiotics. The swelling decreased immediately, and a few weeks later, the eye was functioning normally.

The findings suggest that COVID-19 may contribute to sinus infection with the potential to spread to the eye, even in a healthy young patient with mild symptoms, the researchers say. They emphasize the need for early surgery in patients with vision-threatening orbital cellulitis.


Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

OR Manager Jobs
Live chat by BoldChat