External Eye and Tear Duct Infections

Author:  Michael John Stewart / Editors:  Michael John Stewart, Jonathan D Whittaker / Reviewer: Louise Burrows / Codes: Published: 18/01/2021

Prerequisites:

Before commencing this session you should complete the Module Session – Initial Assessment of the Eye

Description:

This session will look at the assessment and management of infections affecting the external eye and the lacrimal apparatus

After completing this session you will be able to:

  • Identify the anatomical factors that contribute to the development and spread of infections of the eye lid and peri-orbital structures
  • Describe the pathophysiology and clinical features of dacryoadenitis and dacryocystitis, and institute appropriate treatment
  • Differentiate between a chalazion (meibomian cyst) and acute hordeolum of the eye and formulate management strategies for each condition
  • Differentiate between preseptal and orbital cellulitis and formulate a management strategy for both conditions
  • Recognise the serious complications of orbital infections and institute appropriate treatment and referral

References:

  1. Rutar T, Zwick OM, Cockerham KP et al. Bilateral blindness from orbital cellulitis caused by community-acquired methicillin-resistant Staphylococcus aureus. Am J Ophthalmol 2005;140:740-742. View abstract
  2. Jackson K, Baker SR. Clinical implications of orbital cellulitis. Laryngoscope 1986;96:568-574. View abstract
  3. Blomquist PH. Methicillin-resistant Staphylococcus aureus infections of the eye and orbit (an American Ophthalmological Society thesis). Trans Am Ophthalmol Soc 2006;104:322-345. View abstract
  4. Boden JH, Ainbinder DJ. Methicillin-resistant ascending facial and orbital cellulitis in an operation Iraqi Freedom troop population. Ophthal Plast Reconstr Surg 2007;23:397-399. View abstract
  5. Hospital Episode Statistics [Internet]. Inpatient data. London: The NHS Information Centre for health and social care; c2010. [Accessed 16th May 2016]
  6. Mills DM, Bodman MG, Meyer DR et al. The microbiologic spectrum of dacryocystitis: a national study of acute versus chronic infection. Ophthal Plast Reconstr Surg 2007;23:302-306. View abstract
  7. McCulley JP. Blepharoconjunctivitis. Int Ophthalmol Clin 1984;24:65-77. View abstract
  8. Jones DB, Steinkuller PG. Strategies for the initial management of acute preseptal and orbital cellulitis. Trans Am Ophthalmol Soc 1988;86:94-112. View abstract
  9. Kass LG, Hornblass A. Sebaceous carcinmoma of the ocular adnexa. Surv Ophthalmol 1989;33:477-490. View abstract
  10. Dellinger RP, Levy MM, Carlet JM et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008;36:296-327. View abstract
  11. Bergin DJ, Wright JE. Orbital cellulitis. Br J Ophthalmol 1986;70:174-178. View abstract

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