Selulitis Preseptal

Selulitis Preseptal. What is Preseptal cellulitis? Preseptal cellulitis is a bacterial infection of one or both eyelids including the soft tissue that surrounds the front of the eye What are the symptoms? One or both eyelids will be swollen The skin will look red and feel warm to touch The lids will be tender and sometimes painful The eye can be red and watery and.

Periorbital cellulitis is sometimes called preseptal cellulitis It is is a skin and soft tissue infection around the eye that is anterior to the orbital septum Serious complications of periorbital cellulitis are rare however a more serious condition called orbital cellulitis is sometimes misdiagnosed as periorbital cellulitis.

Preseptal Cellulitis Preseptal Cellulitis

Disease EntityDiagnosisManagementPrognosis and ComplicationsReferencesPreseptal cellulitis is an inflammation of the tissues localized anterior to the orbital septum The orbital septum is a fibrous tissue that divides the orbit contents in two compartments preseptal (anterior to the septum) and postseptal (posterior to the septum) The inflammation that develops posterior to the septum is known as “orbital cellulitis” Both entities are caused by an infectious process Patients complain of eyelid swelling and redness But also general malaise and low grade fever are commonly reported Among the classic signs of preseptal cellulitis are eyelid edema/erythema/warmth and feverThere are clinical keys that help us distinguish between preseptal and orbital cellulitis 1 Preseptal cellulitis eyelid edema and erythema normal visual acuity absence of proptosis pupil with normal reaction to light normal color saturarion normal conjunctiva and normal ocular movements 2 Orbital cellulitis eyelid edema and erythema diminished visual acuity proptosis is present relative afferent pupillary defect may be present reduced color saturation chemotic conjunctiva and reduced extraocular movements with pain elicited by these movements Cellulitis may extend to the cheek and forehead Also it is common to see an eyelid abscess associated with preseptal cellulitis which may require incision and drainage General treatment Once diagnosed preseptal cellulitis can be treated in an outpatient or inpatient basis depending on the characteristics of the patient 1 If the patient is afebrile with a mild preseptal cellulitis he can be followed as an outpatient with oral antibiotics and daily visits to monitor the progress of the disease However if the patient does not respond to oral antibiotics in 48 hours or if extension of the infectious process into the orbit is suspected he or she should be admitted to the ho Empiric antibiotic therapy Broad spectrum antibiotics must be prescribed to cover gram positive and gram negative bacteria Prognosis is usually good when this entity is promptly diagnosed and treated However complications can develop even with prompt treatment 1 Orbital extension and complications orbital cellulitis subperiosteal abscess orbital abscess cavernous sinus thrombosis 2 Central nervous system involvement (after orbital extension) meningitis abscesses (brain extradural or subdural) 3 Necrotizing fasciitis it is a rare complication caused by βhemolytic Streptococcus It presents as a rapidly progressive cellulitis with poorly demarcated borders and violaceous skin discoloration which can lead to necrosis and toxic shock syndrome The patient must be admitted to the hospital intravenous fluids should be replenished IV broad spectrum antibiotics must be prescribed and surgical debridement could be necessary Chandler JR Langenbrunner DJ Stevens ER The pathogenesis of orbital complications in acute sinusitis Laryngoscope 1970 80141428Ambati BK Ambati J Azar N et al Periorbital and orbital cellulitis before and after the advent of Haemophilus influenzae type B vaccination Ophthalmology 2000 107 1450–3Watts P Preseptal and orbital cellulitis in children a review J Paediatr Child Health 2012 22(1) 18Pelton RW Klapper SR Focal Points Clinical Modules for Ophthalmologists Preseptal and Orbital Cellulitis American Academy of Ophthalmology 2008 26(11).

Periorbital Cellulitis StatPearls NCBI Bookshelf

Periorbital (or preseptal) cellulitis is an infective oedema of the eyelids and periorbital skin with no involvement of the orbit Periorbital cellulitis is usually caused by Staphylococcus streptococcus or Haemophilus bacteriae (more likely in unimmunised children) Periorbital cellulitis can follow a minor injury to the eye.