Orbital Cellulitis Preorbital cellulitis (preseptal cellulitis) Medical emergency as bacterial infection of tissues lying posterior to the orbital septum (within the orbit) can cause
severe sight and life-threatening emergency
Localised infection of tissues lying anterior to the orbital septum Swollen eyelids, fever, chemosis, history of facial laceration, trauma, insect bite, or sinusitis. same as orbital cellulitis Ophthalmoplegia, proptosis, severe eye pain especially on eye movement, blurred vision or decreased visual acuity, diplopia.
Skin erythema, lid oedema, warmth and tenderness, ptosis, pyrexia. No proptosis, normal vision, no pain moving eyes. Localised pain and swelling but eye unaffected Streptococcus pneumoniae, Haemophilus influenzae type b, and staphylococci or streptococci with a history of trauma same as orbital cellulitis Orbital cellulitis can extend into the skull with resulting meningitis, vein thromboses, and blindness. Extension beyond or into skull uncommon Computed tomography (CT) scan can help determine the extent of the infection (i.e., preorbital vs. orbital) and exclude complications such as an abscess. same as orbital cellulitis Refer to Ophthalmologist same day. Co manage with ENT. Treat either condition with blood cultures and administration of broad-spectrum antibiotics to cover the likely bugs until culture results are known. Will need IV antibiotics and Inpatient care initially Same as orbital cellulitis though Oral antibiotics and ambulatory care may be fine depending on severity
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Orbital vs Preorbital Cellulitis
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