Periorbital vs Orbital Cellulitis

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

See Also

Source

  • UpToDate
  • Tintinalli