Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Orbital cellulitis
Oculoplasty
Key Points
- •PROPTOSIS is the key sign differentiating orbital cellulitis from preseptal cellulitis - along with restricted motility, decreased VA, and RAPD
- •CT orbits with contrast is the GOLD STANDARD - shows source (sinusitis), extent, abscess formation, and guides surgical planning
- •Chandler classification (Stages I–V) guides management: Stages I–II = medical; Stages III–V = often surgical
- •Children <9 years with small medial SPA from ethmoid sinusitis may be trialled on IV antibiotics 24–48h before deciding on drainage
- •Cavernous sinus thrombosis is suggested by BILATERAL orbital signs with CN III/IV/VI palsies - a life-threatening emergency
Free preview ends here
Keep reading Orbital cellulitis
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations