Swelling and redness in a child's eyelids can be caused by a variety of things, from harmless conditions to serious conditions that can cause blindness. Therefore, it is important for parents to detect swelling and redness in the child's eyelids.
One eye disease in children with symptoms of swelling and red that is at risk of causing blindness is orbital cellulitis. Orbital cellulitis is an infection of the tissue in the eyeball. This disease most often occurs when a bacterial infection in the sinus cavity (sinusitis) spreads to the eye socket.
In addition to infections in the sinus cavity, infections in other tissues, such as the skin of the eyelids, eyeballs, or upper respiratory tract, can also spread to the eyeball and cause orbital cellulitis. In addition to infection, injury or trauma around the face can also cause orbital cellulitis.
Symptoms of Orbital Cellulitis
Parents need to be vigilant if the child's eyes appear red and the eyelids are swollen, especially if the child has recently had a respiratory infection, ears, and teeth, or an injury to the face.
Aside from red eyes and swollen eyelids, other symptoms that appear on orbital cellulitis are:
- Pain when moving the eyeball
- Eyeballs look more prominent
- Lower upper eyelid (looks glazed)
- Double vision
- Blurred vision
Children who have orbital cellulitis can also experience fever, feel weak and nausea, and vomit.
If the above complaints arise, consult your ophthalmologist immediately, because orbital cellulitis can cause nerve and blood vessel disorders of the eye, as well as sores in the lining of the eye (corneal ulcer) which can lead to blindness. In addition, infection in the eye socket can also spread to the lining of the brain and cause meningitis which is fatal.
The ophthalmologist will conduct an eye examination, ranging from visual acuity, visual field of vision, eyeball movement, eyeball pressure, to the severity of the protrusion of the eyeball (measuring proptosis).
If necessary, the ophthalmologist can carry out further tests in the form of blood tests and bacterial culture to determine the type of bacteria that causes it, so that the right treatment can be determined. Imaging with a CT scan can be done if the therapy given is not successful in resolving complaints.
Orbital Cellulitis Treatment
Children who have orbital cellulitis need to be hospitalized so that their condition can be monitored. During treatment, the doctor will give an antibiotic infusion to kill the bacteria.
The type of antibiotic given depends on the type of bacteria that attacks, and can change during treatment, according to the bacterial culture examination.
If the situation improves after two days, the antibiotics that were initially given by infusion can be replaced by taking the tablets. If pus occurs (abscess) at the site of infection and pus does not disappear with medication, surgery can be done.
Despite the appearance of pus, orbital cellulitis can often improve only with antibiotics. However, there are several conditions that can be considered by an ophthalmologist to perform surgery, including:
- Children over 9 years old
- Eyeball movement is limited
- Pressure in the eyeball increases
- Visual impairment occurs
Orbital cellulitis can heal well and leave no effect later on if treated quickly. Therefore, consult your child immediately to the eye doctor if his eyes look swollen, especially if accompanied by visual impairment.
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