Periorbital cellulitis , also known as preseptal cellulitis (and not to be confused with orbital cellulitis, which is posterior to the orbital septum), is inflammation and infection of the eyelid and the skin around the anterior eye to the orbital septum. This may be caused by the rupture of the skin around the eyes, and then spread to the eyelid; infection of the sinuses around the nose (sinusitis); or from the spread of infection elsewhere through the blood.
Video Periorbital cellulitis
Signs and symptoms
Periorbital cellulitis should be distinguished from orbital cellulitis, which is an emergency and requires intravenous (IV) antibiotics. In contrast to orbital cellulitis, patients with periorbital cellulitis have no prominent eyes (proptosis), limited eye movement (ophthalmoplegia), pain in eye movements, or vision loss. If any of these features exist, one should assume that the patient has orbital cellulitis and initiate treatment with IV antibiotics. A CT scan can be performed to illustrate the extent of infection.
Individuals affected may experience the following; swelling, redness, discharge, pain, closed eyes, conjunctival injection, fever (mild), slightly blurred vision, teary eyes, and some vision reduction.
Typical signs include periorbital erythema, induration, tenderness and warmth.
Maps Periorbital cellulitis
Cause
Staphylococcus aureus , Streptococcus pneumoniae , other streptococci, and anaerobes are the most common causes, depending on the origin of the infection.
The emergence of the Haemophilus influenzae vaccine has dramatically reduced the incidence.
Treatment
Antibiotics intended for gram-positive bacteria. Medical attention should be sought if symptoms persist for 2-3 days.
See also
- Orbital cellulitis
References
External links
- Merck
Source of the article : Wikipedia
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