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Peri-orbital and orbital cellulitis

Última revisão: 24 Mar 2025
Última atualização: 17 Sep 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presence of risk factors
  • recent sinus infection
  • recent eyelid injury
  • redness and swelling of eye
  • ocular pain
  • decreased vision
  • proptosis
  • eyelid oedema
  • insect bite on eyelid
  • stye or chalazion
  • ear or facial infection
  • ophthalmoplegia and diplopia
Detalhes completos

Outros fatores diagnósticos

  • orbital trauma
  • skin infection
  • chemosis
  • tenderness around eye
  • fever
  • eyelid erythema
  • elevated intra-ocular pressure
  • headache
  • malaise
  • previous dental infection or dental work
  • orbital fracture
  • foreign body in eye or orbit
  • drowsiness
  • nausea/vomiting
  • nasal discharge
Detalhes completos

Fatores de risco

  • sinusitis
  • young age
  • male sex
  • lack of Hib vaccine in children
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical examination
  • CT sinus and orbits with contrast medium
  • WBC count
Detalhes completos

Investigações a serem consideradas

  • blood culture
  • microbiology swab (conjunctiva, nasopharynx, external wounds)
  • MRI head and orbits with contrast medium
  • Orbital ultrasonography
  • lumbar puncture
Detalhes completos

Algoritmo de tratamento

AGUDA

peri-orbital cellulitis: causative organism not identified

peri-orbital cellulitis: causative organism identified

orbital cellulitis: causative organism not identified

orbital cellulitis: causative organism identified

Colaboradores

Autores

Sudarshan Srivatsan, MD

Oculoplastics Fellow

Moran Eye Center

University of Utah

Salt Lake City

UT

Declarações

SS declares that he has no competing interests.

Robert Kersten, MD, FACS, FASOPRS

Professor of Clinical Ophthalmology

Division Chief, Oculoplastics

Moran Eye Center

University of Utah

Salt Lake City

UT

Declarações

RK declares that he has no competing interests.

Agradecimentos

Dr Sudarshan Srivatsan and Dr Robert Kersten would like to gratefully acknowledge Dr Sandra Lora Cremers, Dr Sarosh Janjua, and Dr H. Jane Kim, previous contributors to this topic. SLC, SJ and HJK declare that they have no competing interests.

Revisores

David M. Ozog, MD

Director of Cosmetic Dermatology

Department of Dermatology

Cosmetic and Procedural Dermatology

Henry Ford Health System

Detroit

MI

Declarações

DMO declares that he has no competing interests.

I-Hui (Elaine) Wu, MD

Resident

Wilmer Eye Institute

Baltimore

MD

Declarações

IW declares that she has no competing interests.

Cristine Radojicic, MD

Staff Physician

Cleveland Clinic

Cleveland

OH

Declarações

CR declares that she has no competing interests.

Jonathan Smith, MD

Specialist Registrar in Ophthalmology

Royal Victoria Infirmary

Newcastle

UK

Declarações

JS declares that he has no competing interests.

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