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Periorbital Cellulitis, Pediatric

Aaron E. Kornblith, MD and Christine S. Cho, MD, MPH, MEd Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Periorbital or preseptal cellulitis is an acute infection characterized by pain, erythema, and edema to the anterior eyelid and surrounding tissue.

  • The infection lies superficial to t...

DIAGNOSIS

HISTORY

  • Onset, time course of symptom progression, and any predisposing factors

  • A history of trauma is suggestive of periorbital cellulitis.

  • A history of prolonged sinus disease suggests orbita...

TREATMENT

GENERAL MEASURES

  • Simple periorbital cellulitis should be empirically treated based on local prevalence of Staphylococcus and Streptococcus species.

    • Consider methicillin-resistant Staphylococcu...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Watch patients closely for signs of orbital extension, bacteremia, or other forms of disseminated infection.

  • Neonates and infants can become sept...

ADDITIONAL READING

  • Bedwell J, Bauman N. Management of pediatric orbital cellulitis and abscess. Curr Opin Otolaryngol Head Neck Surg.  2011;19(6):467–473. [View Abstract on OvidInsights]

  • Foster JA...

CODES

ICD9

  • 376.01 Orbital cellulitis

  • 373.13 Abscess of eyelid

ICD10

  • H05.019 Cellulitis of unspecified orbit

  • H00.039 Abscess of eyelid unspecified eye, unspecified eyelid

  • H05.012 Cellulitis of left orbit

  • H05....

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