Orbital and Periorbital Cellulitis (2)

Question 1

Orbital Cellulitis:
What occurs here?

Which features differentiate it from Periorbital Cellulitis?

How is it investigated?

How is it managed?

Answer 1

➊ Infection around eyeball, involving tissues behind orbital septum

➋ Pain on movement, restricted eye movements, visual changes, abnormal pupil reactions, and proptosis (forward movement of the eyeball)

➌ CT

➍ Medical emergency requiring admission and IV Abx

Question 2

Periorbital Cellulitis:
What occurs here?

How can it progress?
→ In who is this more likely to occur?

Answer 2

➊ Infection of eyelid and skin in front of orbital septum

➋ Can spread to optic septum and cause Orbital cellulitis
→ Children as they have a less developed septum