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New research · Ophthalmology
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 4d
Cohort studyCanadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2026

Predictors and clinical outcomes of surgical intervention in pediatric orbital cellulitis.

Naman Kundu, Terence Ang, Abdullah Almater … Dinesh Selva
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OphthalmologyCohort study

Most children with orbital cellulitis needed surgery to drain the infection.

Predictors and clinical outcomes of surgical intervention in pediatric orbital cellulitis.

Naman Kundu … Dinesh Selva
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2026
Purpose

To identify clinical and radiological features to better predict surgical intervention in pediatric orbital cellulitis (orbital cellulitis).

Methods

A retrospective study, including pediatric patients who had clinico-radiological evidence of bacterial orbital cellulitis.

n = 87 patients
59.8%
Results
59.8%
surgery was needed to drain the infection in most children
n = 87 patients
More results

Eighty-seven patients were diagnosed with orbital cellulitis between 2012 and 2024 (mean age 8.66 ± 4.34 years; range: 0.04-17 years).

In surgical cases, greater periosteal elevation of 6.0 ± 3.2 mm and anterior-posterior (anterior-posterior) abscess length of 22.5 ± 8.1 mm was observed (p = .047 and p = .013, respectively).

More results

Mean time to surgery was 23.6 ± 20.7 hours (range: 1.6-92.7 hours), with 67.3% occurring within 24 hours.

Surgical cases had longer hospital stays (7.82 vs 4.74 days; p < .001).

“
Conclusion · 1 of 3

Proptosis, impaired ocular motility, and radiological evidence of abscess were found to be associated with surgical intervention in pediatric orbital cellulitis.

Conclusion · 2 of 3

Additionally, patients with a subperiosteal abscesses surgery were more likely to have greater periosteal elevation and anterior-posterior abscess length.

Conclusion · 3 of 3

Surgical intervention was found to be higher in this cohort than that documented in other literature.

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