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
- Fever
- Ill appearance
- Blurred vision
- Proptosis
- Painful/limited EOM
- Diplopia
- Edema of optic disk
- Venous engorgement of retina
DDX
- Preseptal cellulitis
- Postseptal cellulitis
- Subperiosteal abscess
- Orbital abscess
- Cavernous sinus thrombosis
- Dacryoadenitis
- Dacryocystitis
- Hordeolum
- Bacterial and viral conjunctivitis
- Contact dermatitis
- Herpes zoster
- Herpes simplex
See Also
Source
- UpToDate
- Tintinalli