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Cellulitis, Periorbital

Fozia Akhtar Ali, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • An acute bacterial infection of the skin and subcutaneous tissue anterior to the orbital septum; does not involve the orbital structures (globe, fat, and ocular muscles)

  • Synonym(s): p...

DIAGNOSIS

HISTORY

  • Induration, erythema, warmth, and/or tenderness of periorbital soft tissue, usually with normal vision and normal eye movements

  • Chemosis (conjunctival swelling), proptosis; pain with e...

TREATMENT

MEDICATION

  • Treat periorbital cellulitis with oral antibiotics and ensure close follow-up.

  • Empiric antibiotic treatment should cover the most likely organisms (Staphylococcus and Streptococcus)...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Follow for signs of orbital involvement, including decreased visual acuity or painful/limited ocular motility. 

PATIENT EDUCATION

  • Maintain good sk...

REFERENCES

1
Hauser A, Fogarasi S. Periorbital and orbital cellulitis. Pediatr Rev.  2010;31(6):242–249. [View Abstract on OvidMedline]
2
Baring DE, Hilmi OJ. An evidence based review of periorbital...

ADDITIONAL READING

  • Ekhlassi T, Becker N. Preseptal and orbital cellulitis. Dis Mon.  2017;63(2):30–32. [View Abstract on OvidMedline]

  • Mahalingam-Dhingra A, Lander L, Preciado DA, et al. Orbital an...

CODES

ICD10

L03.211 Cellulitis of face 

ICD9

682.0 Cellulitis and abscess of face 

SNOMED

109245003 Cellulitis of periorbital region 

CLINICAL PEARLS

  • Periorbital (preseptal) and orbital (postseptal) cellulitis occur most commonly in children.

  • CT scan of sinuses and orbits can differentiate periorbital cellulitis from orbital cellulit...

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