To the Editor:
Preferred imaging strategies for a variety of pathologies were presented by Othman et al. [1], including for the investigation of orbital cellulitis. For this, the authors suggest that the imaging of choice is orbital CT scan. Given that orbital cellulitis occurs most commonly secondary to sinusitis, both in paediatric [2] and adult populations [3], I consider sinus and orbital CT superior to orbital CT alone.
In cases of orbital cellulitis, I have been obliged to request sinuses CT, following on from an initial orbits CT that confirmed orbital cellulitis and showed signs of sinus pathology, but that did not show the sinuses adequately for pre-operative planning for sinus surgery. This repeated scanning increases the radiation dose, often in a paediatric population, and can delay definitive management in cases where surgery is required.
References
Al Othman B, Raabe J, Kini A, Lee AG. Neuroradiology for ophthalmologists. Eye. 2020;34:1027–38.
Kinis V, Ozbay M, Bakir S, Yorgancilar E, Gun R, Akdag M, et al. Management of orbital complications of sinusitis in pediatric patients. J Craniofac Surg. 2013;24:1706–10.
Vairaktaris E, Moschos MM, Vassiliou S, Baltatzis S, Kalimeras E, Avgoustidis D, et al. Orbital cellulitis, orbital subperiosteal and intraorbital abscess: report of three cases and review of the literature. J Craniomaxillofac Surg. 2009;37:132–6.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares that she has no conflict of interest.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Quigley, C. Comment on: ‘Neuroradiology for ophthalmologists’. Eye 35, 1284 (2021). https://doi.org/10.1038/s41433-020-1075-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41433-020-1075-x