April 25, 2020

Periorbital cellulitis, also known as preseptal cellulitis is an inflammation and infection of the Botting, A.M.; McIntosh, D.; Mahadevan, M. “Paediatric pre- and post-septal peri-orbital infections are different diseases”. International Journal of . Request PDF on ResearchGate | Paediatric Post-septal and Pre-septal Pre-SC and post-SC are also known as periorbital and orbital cellulitis, respectively. Celulitis orbitaria complicada por absceso subperióstico debido a infección por. Request PDF on ResearchGate | On Dec 31, , Isabel Gimeno Sánchez and others published Celulitis preseptal y orbitaria.

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We have studied the effectiveness of penicillin and other antibiotics for S. Coronal CT showing superior orbital abscess on the left white arrow and inflammation of the right ethmoidal and maxillary sinuses.

Beta hemolytic streptococcus has been associated with cellulitis in patients with a history of facial trauma or recent oral or sinus surgery. Paranasal sinus radiography helps confirm the presence of sinusitis. Palpebral edema without condition of the orbital structures. No post-septal extension was seen.

Put a Lid on Preseptal Cellulitis

A computerized axial tomography CT of the orbits and soft tissues, showed a subperiosteal and right preseptal abscess with extraocular cellulitis, in addition to the occupation of the maxillary, right ethmoidal and left anterior sinuses Figures 1 and 2. Open in a separate window. Children who required intravenous antibiotic therapy scored six points, while the oral therapy group scored two points.


Post-contrast imaging allowed easier identification of not only intraorbital abscess and subdural empyema but also of SOV and CST that were difficult to identify on pre-contrast scans.

Periorbital cellulitis – Wikipedia

Edit article Share article View revision history. We advise that an urgent ear, nose and throat ENT opinion should be obtained with a view to endoscopic drainage of the affected sinuses. According to a study by Kapur et al, 8 MRI should be considered for cases in which there is clinical or CT-based suspicion for intracranial complications e. Purulent collection in orbital tissues. The most important complications are the formation of subperiosteal and orbital abscesses, cavernous sinus thrombosis with the involvement of the III, IV and VI cranial pair, parameningeal irritation, subdural empyema or even death.

Preseptal cellulitis – EyeWiki

Due to the implementation of vaccination schemes against H. Discarding pre-contrast views also has the added advantage of dose reduction in the paediatric population, a population that is more susceptible to the harmful effects of radiation. Orbital cellulitis is an infectious disease that usually occurs in children between 5 and 12 years old, predominantly in men, and especially during the cold months.

Paralytic strabismus Ophthalmoparesis Chronic progressive external ophthalmoplegia Kearns—Sayre syndrome. Pre-SC periorbital cellulitis is an infection of the eyelid and surrounding skin anterior to the orbital septum and is usually caused by local trauma or arises from an infective origin of the skin and adnexae of the eyelid Figure 2. It extends from the orbital rim to the lids and contains orbital fat.


The authors declare that no experiments were performed on humans or animals for this study. Cup-to-disc ratios were 0.

When to Opt for Surgery Surgical intervention is warranted when there is doubt regarding clinical responsiveness to medical treatment. A record of all patients who had CT scans of their orbits was obtained from the radiology database. CT is the imaging investigation of choice as it is:. Paediatric post-septal and pre-septal cellulitis: Continuing navigation will be celultiis as acceptance of this use.

Persistently irritable or lethargic. Our patient was educated on the importance of compliance with his oral antibiotics, CT imaging and follow-up appointments. Dacryoadenitis Epiphora Dacryocystitis Xerophthalmia.

Periorbital cellulitis

Orbital abscesses should be drained without any delay. However, if a subperiosteal abscess is present, surgical drainage may be necessary 1.

Retrieved from ” https: It is very difficult to differentiate between preseptal edema and periorbital cellulitis on CT 4.