Endoscopic Management of Complicated Bacterial Orbital Cellulitis

In the cases discussed here, the first case is of a 73 yrs old male suffering from diabetes mellitus and second case is of 45 yrs HIV positive female. Both patients presented with pain and swelling of eyelids, conjunctival chemosis, proptosis and reduced visual acuity. They underwent nasal endoscopic drainage of the abscess and orbital decompression. First patient also underwent simultaneous repair of CSF Leak using nasal septal cartilage and bone and second patient who had lower eyelid necrotizing fascitis underwent lateral canthotomy followed by tarsorrhaphy. Both the patients improved postoperatively.