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Periorbital And Orbital Cellulitis

 Syn. Orbital cellulitis

Signs & Symptoms

 Malaise #orbital_cellulitis
Ref: Epocrates [ https://online.epocrates.com/diseases/73433/Periorbital-and-orbital-cellulitis/History-Exam]
Pain with eye movements
Ref: Uptodate [ Orbital cellulitis]
Headache #orbital_cellulitis
Ref: Epocrates [ https://online.epocrates.com/diseases/73433/Periorbital-and-orbital-cellulitis/History-Exam]
Elevated intraocular pressure #orbital_cellulitis
Ref: Epocrates [ https://online.epocrates.com/diseases/73433/Periorbital-and-orbital-cellulitis/History-Exam]

Physical Examination

 Signs of orbital inflammation in the contralateral eye (negative symptom)
Note: Signs of orbital inflammation include redness and swelling of the eyelids, ophthalmoplegia, decreased visual acuity.The second eye may become involved a day or two after the first eye
Ref: Uptodate [ Orbital cellulitis] Vaughan [ 608] BCSC [ 38]
Tenderness around eye
Ref: Epocrates [ https://online.epocrates.com/diseases/73433/Periorbital-and-orbital-cellulitis/History-Exam]
Eyelid edema
Note: earliest signs
Ref: Epocrates [ https://online.epocrates.com/diseases/73433/Periorbital-and-orbital-cellulitis/History-Exam]

Lab / Serology

 Elevated neutrophils
Note: Peripheral leukocytosis with a predominance of neutrophils
Ref: Uptodate [ Orbital cellulitis] Vaughan [ 608] BCSC [ 36]
Peripheral leukocytosis
Note: predominance of neutrophils
Ref: Uptodate [ Orbital cellulitis] Vaughan [ 608] BCSC [ 36]
Increased absolute neutrophilic band form
Ref: Epocrates [ https://online.epocrates.com/diseases/73434/Periorbital-and-orbital-cellulitis/Diagnostic-Tests]

Imagin Study

 Inflammation of orbital tissue
Ref: Epocrates [ https://online.epocrates.com/diseases/73434/Periorbital-and-orbital-cellulitis/Diagnostic-Tests]
enlarged extraocular muscle (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/73435/Periorbital-and-orbital-cellulitis/Differential-Diagnosis]
Swelling of the fatty tissues within the orbit
Note: Swelling and inflammation of the extraocular muscles and fatty tissues within the orbit
Ref: Uptodate [ Orbital cellulitis]

Complication

 Subperiosteal abscess
Ref: Uptodate [ Orbital cellulitis]
Sluggish pupillary light reflex
Note: due to Optic nerve involvement
Ref: Uptodate [ Orbital cellulitis] BCSC [ 36]
Relative afferent pupillary defect
Note: due to Optic nerve involvement
Ref: Uptodate [ Orbital cellulitis] BCSC [ 36]

Risk Factors

 Children
Ref: Uptodate [ Orbital cellulitis]
Male
Ref: Epocrates [ https://online.epocrates.com/diseases/73432/Periorbital-and-orbital-cellulitis/Risk-Factors]

Cause

 Rhinosinusitis
Ref: Uptodate [ Orbital cellulitis] Vaughan [ 607]
Fungal rhinosinusitis
Ref: Uptodate [ Orbital cellulitis] Uptodate [ Orbital cellulitis.]
Bacterial rhinosinusitis
Ref: Uptodate [ Orbital cellulitis]

Other