Periorbital cellulitis, or pre-septal cellulitis, is an inflammation and infection of the soft tissues of the eyelid and portions of skin around the eye anterior to the orbital septum. It does not involve the eye itself or structures within the orbit, distinguishing it from orbital cellulitis. For medical advice or diagnosis, consult a professional.
Causes:
1.Bacterial infections:
Common organisms: Staphylococcus aureus (including MRSA) and Streptococcus pyogenes.
2.Local trauma or skin infections:
Insect bites, scratches, or puncture wounds near the eye.
Secondary to impetigo or furuncles on the face.
3.Spread from adjacent infections:
Sinusitis (especially ethmoid sinusitis).
4.Upper respiratory infections:
Spread from infected nasal passages or paranasal sinuses.
5.Post-surgical or foreign body introduction:
Following eye or periocular procedures or retained foreign bodies.
Signs:
1.Eyelid swelling
2.Redness (erythema)
3.Warmth
4.Tenderness
5.Absence of proptosis
6.Normal eye movements
7.No conjunctival involvement
Symptoms :
1.Eyelid discomfort or pain
2.Feeling of heaviness in the eyelid
3.Mild vision disturbance
4.Fever and malaise
5.No pain with eye movement
Complications:
Untreated periorbital cellulitis can lead to:
1.Orbital cellulitis
2.Abscess formation
3.Cavernous sinus thrombosis
4.Sepsis
Treatment:
Mild cases (oral therapy antibiotics, Warm compressors, Analgesics)
Moderate to severe cases (IV antibiotics, Surgical intervention)
If you experience any symptoms of periorbital cellulitis, it’s important to see an eye specialist (ophthalmologist) promptly for diagnosis and treatment.
