Opthalmology - Preorbital Cellulitis Flashcards

1
Q

Definition

A

An eyelid and skin infection in front of the orbital septum where the inflammation and infection remains confined to the soft tissue layers superficial to the orbital septum

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2
Q

Risk factors

A
  • Boys
  • Previous sinus infection
  • Lack of Hib vaccination
  • Recent eyelid injury
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3
Q

Signs and symptoms

A

Swelling, Redness, Hot skin around eyelids and the eye

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4
Q

What to differentiate it from

A
  • orbital cellulitis → affect sight
  • presents with more ocular pain, decreseed vision, proptosis
  • emergency
  • CT SCAN TO DISTINGUISH
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5
Q

Investigations

A
  • Clinical
  • CT sinus and orbits with contrast -> differentiate from orbital cellulitis
  • WBC -> increased neutrophils
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6
Q

Management

A

Empirical antibiotics e.g. Cefotaxime/Clindamycin

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7
Q

Complications

A

Develop into orbital cellulitis so vulnerable patients or severe cases may require admission for monitoring

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