Periorbital vs Orbital Cellulitis: Difference between revisions

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*Periorbital cellulitis
*Periorbital cellulitis
**Most often due to contiguous infection of soft tissues of face and eyelids
**Most often due to contiguous infection of soft tissues of face and eyelids
==Concerning features for [[Orbital Cellulitis]]==
#Fever
#Ill appearance
#Blurred vision
#Proptosis
#Painful/limited EOM
#Diplopia
#Edema of optic disk
#Venous engorgement of retina


==DDX==
==DDX==
#Preseptal cellulitis
#[[Periorbital Cellulitis]]
#Postseptal cellulitis
#[[Orbital Cellulitis]]
#Subperiosteal abscess
#Subperiosteal abscess
#Orbital abscess
#Orbital abscess

Revision as of 01:33, 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

DDX

  1. Periorbital Cellulitis
  2. Orbital 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