Orbital cellulitis

Background

Periorbital vs orbital cellulitis

Clinical Features

Orbital Cellulitiswith retrobulbar hematoma and proptosis
Left orbital cellulitis secondary to penetrating dog bite.

Complications

Differential Diagnosis

Periorbital swelling

Proptosis

No proptosis

Lid Complications

Other

Evaluation

Left medial subperiosteal abscess with associated ethmoid sinusitis.
  • CT Orbit with IV contrast
    • Proptosis
    • Inflammation of ocular muscles
    • Subperiosteal or orbital abscess

Management

Antibiotics

Vancomycin 15-20mg/kg IV BID + (one of the following)

Consults

  • Ophthalmology consult to arrange close follow-up

Disposition

  • Admit


See Also

References

  1. Farooq AV et al. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center. Orbit. Vol. 34 , Iss. 3,2015.