Orbital Cellulitis

Question 1

What is orbital cellulitis

Answer 1

Acute infection of structures around eye-extension via the sinuses
*MC ethmoid
*dangerous infection serious complications
*emergent referral

Question 2

What are the common agents causing orbital cellulitis

Answer 2

1. S. Pneumoniae
2. Staph a
3. H. Flu
4. Beta-hemolytic strep

Question 3

What are the signs of orbital cellulitis

Answer 3

Abrupt onset of fever
1. Proptosis (abnl protrusion of the eye)
2. Exophthalmos (paralysis of EOM)
3. Restriction of EOM
4. Swelling redness of lids
5. Purple eyelids
*history of sinusitis

Question 4

How to diagnose orbital cellulitis

Answer 4

CT maybe MRI

Question 5

What is the treatment of orbital cellulitis

Answer 5

Admit and IV ATB ASAP

Question 6

What is the prognosis of orbital cellulitis

Answer 6

1. Excellent if treated emergently
   *abscess formation may require surgical drainage