Periorbital vs Orbital Cellulitis: Difference between revisions

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#Edema of optic disk
#Edema of optic disk
#Venous engorgement of retina
#Venous engorgement of retina
==DDX==
#Preseptal cellulitis
#Postseptal cellulitis
#Subperiosteal abscess
#Orbital abscess
#Cavernous sinus thrombosis
#Dacryoadenitis
#Dacryocystitis
#Hordeolum
#Bacterial and viral conjunctivitis
#Contact dermatitis
#Herpes zoster
#Herpes simplex


==See Also==
==See Also==

Revision as of 01:28, 25 October 2011

Background

  • Orbital Cellulitis may mimic Periorbital Cellulitis early in its course
  • Orbital cellullitis
    • Most often due to ethmoid sinusitis
    • May also be due to orbital trauma, endophthalmitis, infection from teeth / middle ear
    • Not caused by extension of preriorbital cellulitis
  • Periorbital cellulitis
    • Most often due to contiguous infection of soft tissues of face and eyelids

Concerning features for Orbital Cellulitis

  1. Fever
  2. Ill appearance
  3. Blurred vision
  4. Proptosis
  5. Painful/limited EOM
  6. Diplopia
  7. Edema of optic disk
  8. Venous engorgement of retina

DDX

  1. Preseptal cellulitis
  2. Postseptal cellulitis
  3. Subperiosteal abscess
  4. Orbital abscess
  5. Cavernous sinus thrombosis
  6. Dacryoadenitis
  7. Dacryocystitis
  8. Hordeolum
  9. Bacterial and viral conjunctivitis
  10. Contact dermatitis
  11. Herpes zoster
  12. Herpes simplex

See Also

Source

  • UpToDate
  • Tintinalli