The Resource Preseptal and Orbital Cellulitis
- Preseptal and Orbital Cellulitis
- Statement of responsibility
- RW Pelton, SR Klapper
- Preseptal cellulitis describes an infection or inflammation of the eyelids anterior to the orbital septum. Orbital cellulitis occurs posterior to the orbital septum and involves the soft tissues within the bony orbit. These processes occur most commonly following the spread of infection from adjacent structures. Preseptal cellulitis occurs more frequently than orbital cellulitis. Dermatoblepharitis, conjunctivitis, dacryocystitis, dacryoadenitis, endophthalmitis, and trauma can all lead to infection of the eyelids and orbit. The most common cause of orbital infection and inflammation is sinusitis. Although the clinical presentation varies, the hallmark of both preseptal and orbital cellulitis is periorbital edema and erythema. Although these two signs of preseptal and orbital infection may be similar, orbital cellulitis generally has greater potential for significant morbidity and even mortality. Preseptal infections do not cause proptosis, motility deficits, or vision loss, signs that define orbital cellulitis, so it is imperative that the treating physician distinguish between pre- and postseptal infections
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