Periorbital/Orbital Infections

Question 1

Periorbital infection

Answer 1

Pre-septal

erythema and pain round the eye

Question 2

Orbital infection

Answer 2

Oculomotor dysfunction, proptosis, chemosis, pain with eye movement, decreased visual acuity

Question 3

Pre-septal cellulitis diagnosis

Answer 3

Clinical

Question 4

Orbital cellulitis diagnosis

Answer 4

CT of the orbit

Blood cultures

CBC

Question 5

Pre-septal cellulitis treatment

Answer 5

Can be treated outpatient

Abx coverage for S aureus, Streptococcus

Question 6

Orbital cellulitis treatment

Answer 6

Broad spectrum Abx IV

Gram(-) rod coverage (ceftriaxone, ampicillin/sulbactam)

skin flora coverage including MRSA

Surgery consult