At a Glance - Orbital cellulitis vs periorbital

ORBITAL CELLULITIS
Presentation

  • Infection of the orbital soft tissues.
  • Usually caused by extension of sinusitis.
  • Affects older children (average, 12 years).
  • Protrusion of the eyeball.
  • Eyelids shiny and red or purple.
  • Swollen lid impairs vision.
  • Chemosis.
  • Decreased visual acuity.
  • Eye movements restricted and painful.
  • Fever.
  • Systemically unwell.

Management

  • Sight and life threatening.
  • Refer for intravenous antibiotics.
  • May require surgery.

PERIORBITAL CELLULITIS


Presentation

  • Affects the eyelids and periorbital soft tissues, but not the orbit of the eye.
  • Caused by trauma to the eyelids, including insect bites, or bacteraemia.
  • Eyelids red and swollen; warm and tender.
  • Rarely progress to orbital cellulitis.
  • Constitutionally well.- Vision tends to be ok.
  • No protrusion of the eyeball.
  • Affects younger children (average, 21 months)

Management

  • Usually managed medically.

Contributed by Dr Vasa Gnanapragasam, a GP in Sutton, Surrey.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GP practices have faced a wave of abuse and complaints after a letter from NHS England...

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

The government has denied plans to make GPs 'gatekeepers' of the struggling COVID-19...