Orbital cellulitis - Revision history

Rossdonaldson1: /* Background */

2026-01-14T21:14:19Z

Background

← Older revision		Revision as of 21:14, 14 January 2026
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	==Background==		==Background==

	~~===Periorbital vs orbital cellulitis===~~
	{{Periorbital vs orbital cellulitis}}		{{Periorbital vs orbital cellulitis}}

Elcatracho: /* Disposition */

2021-02-27T00:11:25Z

Disposition

← Older revision		Revision as of 00:11, 27 February 2021
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	==Disposition==		==Disposition==
	*Admit		*Admit


	==See Also==		==See Also==

Rossdonaldson1: /* Clinical Features */

2020-09-26T20:29:04Z

Clinical Features

← Older revision		Revision as of 20:29, 26 September 2020
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	==Clinical Features==		==Clinical Features==
	[[File:Proptosis 2014-10-28 12-32.jpg\|thumb\|Orbital [[Cellulitis]]with retrobulbar hematoma and proptosis]]		[[File:Proptosis 2014-10-28 12-32.jpg\|thumb\|Orbital [[Cellulitis]] with retrobulbar hematoma and proptosis]]
	[[File:PMC2892128 MEAJO-17-134-g001.png\|thumb\|Left orbital cellulitis secondary to penetrating dog bite.]]		[[File:PMC2892128 MEAJO-17-134-g001.png\|thumb\|Left orbital cellulitis secondary to penetrating dog bite.]]
	*Swelling and erythema of tissues surrounding the orbit AND:		*Swelling and erythema of tissues surrounding the orbit AND:

ClaireLewis at 20:09, 5 October 2019

2019-10-05T20:09:01Z

← Older revision		Revision as of 20:09, 5 October 2019
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	[[File:PMC2892128 MEAJO-17-134-g001.png\|thumb\|Left orbital cellulitis secondary to penetrating dog bite.]]		[[File:PMC2892128 MEAJO-17-134-g001.png\|thumb\|Left orbital cellulitis secondary to penetrating dog bite.]]
	*Swelling and erythema of tissues surrounding the orbit AND:		*Swelling and erythema of tissues surrounding the orbit AND:
	**Proptosis		**[[Proptosis]]
	**Chemosis		**[[red eye\|Chemosis]]
	**Globe displacement		**Globe displacement
	**Limitation of EOM		**Limitation of EOM
	**Pain with eye movements		**Pain with eye movements
	**Double vision		**[[diplopia\|Double vision]]
	**Decreased visual acuity		**[[vision loss\|Decreased visual acuity]]
	**Possible CN III, IV, VI palsies in cases of cavernous sinus involvement		**Possible [[third nerve palsy\|CN III]], [[trochlear nerve palsy\|IV]], [[abducens nerve palsy\|VI palsies]] in cases of cavernous sinus involvement

			===Complications===
			*Orbital abscess
			**Patients tend to have severe proptosis, globe displacement, and appear systemically ill
			**May be clinically indistinguishable from orbital cellulitis; requires CT
			*[[Meningitis]]
			*[[Cavernous sinus thrombosis]]
			*Frontal bone [[osteomyelitis]]
			*[[Subdural empyema]]
			*[[Epidural abscess]]
			*[[Brain abscess]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	[[File:PMC2892128 MEAJO-17-134-g002.png\|thumb\|Left medial subperiosteal abscess with associated ethmoid sinusitis.]]		[[File:PMC2892128 MEAJO-17-134-g002.png\|thumb\|Left medial subperiosteal abscess with associated ethmoid sinusitis.]]
	*CT Orbit with IV contrast		*CT Orbit with IV contrast
			**Proptosis
	~~===Findings consistent with orbital cellulitis===~~		**Inflammation of ocular muscles
	*Proptosis		**Subperiosteal or orbital abscess
	*Inflammation of ocular muscles
	*Subperiosteal or orbital abscess

	==Management==		==Management==
	===Antibiotics===		===Antibiotics===
	{{Orbital Cellulitis Antibiotics}}		{{Orbital Cellulitis Antibiotics}}
	*Consider fungal infections with mucor or aspergillus in DM or immunocompromised<ref>Farooq AV et al. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center. Orbit. Vol. 34 , Iss. 3,2015.</ref>		*Consider [[fungal infections]] with [[mucormycosis\|mucor]] or [[aspergillus]] in DM or immunocompromised<ref>Farooq AV et al. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center. Orbit. Vol. 34 , Iss. 3,2015.</ref>
	**Amphotericin B IV 0.3 mg/kg/day initially		**[[Amphotericin B]] IV 0.3 mg/kg/day initially
	**May require supplemental intra-orbital catheter delivery		**May require supplemental intra-orbital catheter delivery

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	*Admit		*Admit

	~~==Complications==~~
	*Orbital abscess
	**Patients tend to have severe proptosis, globe displacement, and appear systemically ill
	**May be clinically indistinguishable from orbital cellulitis; requires CT
	*[[Meningitis]]
	*[[Cavernous sinus thrombosis]]
	*Frontal bone osteomyelitis
	*Subdural empyema
	*[[Epidural abscess]]
	*Brain abscess

	==See Also==		==See Also==

Rossdonaldson1: /* Clinical Features */

2019-07-20T11:13:41Z

Clinical Features

← Older revision		Revision as of 11:13, 20 July 2019
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	==Clinical Features==		==Clinical Features==
	[[File:Proptosis 2014-10-28 12-32.jpg\|thumb\|Orbital [[Cellulitis]]with retrobulbar hematoma and proptosis]]		[[File:Proptosis 2014-10-28 12-32.jpg\|thumb\|Orbital [[Cellulitis]]with retrobulbar hematoma and proptosis]]
			[[File:PMC2892128 MEAJO-17-134-g001.png\|thumb\|Left orbital cellulitis secondary to penetrating dog bite.]]
	*Swelling and erythema of tissues surrounding the orbit AND:		*Swelling and erythema of tissues surrounding the orbit AND:
	**Proptosis		**Proptosis

Rossdonaldson1: /* Evaluation */

2019-07-20T11:12:32Z

Evaluation

← Older revision		Revision as of 11:12, 20 July 2019
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	==Evaluation==		==Evaluation==
			[[File:PMC2892128 MEAJO-17-134-g002.png\|thumb\|Left medial subperiosteal abscess with associated ethmoid sinusitis.]]
	*CT Orbit with IV contrast		*CT Orbit with IV contrast

Gheid: /* Clinical Features */

2019-06-20T18:01:13Z

Clinical Features

← Older revision		Revision as of 18:01, 20 June 2019
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	**Chemosis		**Chemosis
	**Globe displacement		**Globe displacement
	**Limitation of eye movements ~~secondary to pain and inflammation.~~		**Limitation of EOM
			**Pain with eye movements
	**Double vision		**Double vision
	**Decreased visual acuity		**Decreased visual acuity

Kxl328: /* Clinical Features */

2018-10-07T01:21:37Z

Clinical Features

← Older revision		Revision as of 01:21, 7 October 2018
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	**Double vision		**Double vision
	**Decreased visual acuity		**Decreased visual acuity
			**Possible CN III, IV, VI palsies in cases of cavernous sinus involvement

	==Differential Diagnosis==		==Differential Diagnosis==

Jesse: /* Clinical Features */

2017-08-23T13:32:16Z

Clinical Features

← Older revision		Revision as of 13:32, 23 August 2017
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	**Chemosis		**Chemosis
	**Globe displacement		**Globe displacement
	**Limitation of eye movements		**Limitation of eye movements secondary to pain and inflammation.
	**Double vision		**Double vision
	**Decreased visual acuity		**Decreased visual acuity

Tomfadial: Fixed template link.

2017-04-20T20:34:18Z

Fixed template link.

← Older revision		Revision as of 20:34, 20 April 2017
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	==Management==		==Management==
	===Antibiotics===		===Antibiotics===
	{{Orbital [[Cellulitis]]Antibiotics}}		{{Orbital Cellulitis Antibiotics}}
	*Consider fungal infections with mucor or aspergillus in DM or immunocompromised<ref>Farooq AV et al. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center. Orbit. Vol. 34 , Iss. 3,2015.</ref>		*Consider fungal infections with mucor or aspergillus in DM or immunocompromised<ref>Farooq AV et al. Fungal Orbital Cellulitis: Presenting Features, Management and Outcomes at a Referral Center. Orbit. Vol. 34 , Iss. 3,2015.</ref>
	**Amphotericin B IV 0.3 mg/kg/day initially		**Amphotericin B IV 0.3 mg/kg/day initially
	**May require supplemental intra-orbital catheter delivery		**May require supplemental intra-orbital catheter delivery

	===Consults===		===Consults===
	*Ophthalmology consult to arrange close follow-up		*Ophthalmology consult to arrange close follow-up