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What are the symptoms of orbital periostitis?

What are the obvious symptoms of orbital periostitis? Orbital periostitis consciously has limited pain, especially at night when the pain is aggravated, accompanied by headache and high body temperature. So how should orbital periostitis be diagnosed?

Signs:

According to the orbital edge or deep position

Anterior orbital periostitis: hyperemia and edema of eyelid and bulbar conjunctiva; eyeball tends to be contralateral; movement is limited; obvious tenderness and inflammation at orbital margin; late stage, it may break itself; pus may flow out and heal itself or form fistula repeatedly; severe cases may be combined with cicatricial ectropion

Posterior orbital periostitis: the eyeball protrudes forward. If the focus is at the orbital apex, it will present supraorbital fissure or orbital apex syndrome with ptosis. The eyeball can not be fixed, the pupil is dilated, the light response disappears, and even the visual impairment. If it spreads backward to the intracranial, it can be complicated with meningitis or brain edema, which is life-threatening

Anterior orbital periostitis

(1) Acute orbital periostitis: it is mostly caused by infection of paranasal sinuses. At first, the infected skin is red and swollen or conjunctival congestion and edema can be seen. Then, there is a localized hard mass at the orbital margin. Spontaneous pain and tenderness can extend to the eyebrow, especially at night. Severe cases can also be accompanied by fever, headache and vomiting. In mild cases, the inflammation gradually subsides after a few days; In severe cases, it can lead to pyogenesis and even osteomyelitis, and the formation of dead bone abscess often leads to fistula

(2) Chronic orbital periostitis: mostly caused by tuberculosis and syphilis

Posterior orbital periostitis

The main manifestations are exophthalmos and tenderness at the back of the eyeball, but there is no obvious inflammation outside the eye. The more backward the lesion develops, the greater the threat to the optic nerve. Especially, the prognosis of periostitis at the orbital apex is more serious than that of periostitis at the front of the eyeball. It can often form 'supraorbital fissure' or 'orbital apex' syndrome And life.

After reading the above content, we should have some understanding about the obvious symptoms of orbital periostitis. Today we will introduce here. More topics about health will be introduced in the following chapters. Welcome to check. Wish you a happy life!