|Eyeball in Orbit|
|The cavity below the eye is a sinus, the most common place for the infection to start.|
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- Age: Children are at high risk of severe infections that could result in blindness
- Infections that spread from areas surrounding the eye, such as the sinuses, mouth and teeth, and face
- Infections that spread from the bloodstream
- Injury or surgery in the area
- Stye on the eyelid
- Bug bite or sting to the eyelid
- Bulging eye
- Painful eye movements
- Tender or warm tissues around the eye
- Swollen eyelids
- Difficulty seeing when the eyelid is swollen
- Runny nose
- Double vision
- Blurry vision
- Blood tests
- Testing samples from the lining of your eye, nose, and throat
- Antibiotics are given to treat the infection. They will be started right away, even before results from the laboratory have come back. Antibiotics are generally given by mouth for three weeks. If the infection is serious, antibiotics may be given through an IV for at least several days.
- Diuretics or eye drops are given to help decrease pressure within the eyeball.
- Oral corticosteroids to reduce inflammation, swelling, and pain
- Surgery may be performed to drain a pus collection from an infected sinus or orbit.
National Eye Institute http://www.nei.nih.gov
Retina International http://www.retina-international.org
Canadian Ophthalmological Society http://www.cos-sco.ca
Health Canada http://www.hc-sc.gc.ca
Distinguishing periorbital from orbital cellulitis. Am Fam Physician. 2003 Mar 15;67(6):1349-1353. American Family Physician website. Available at: http://www.aafp.org/afp/2003/0315/p1349a.html. Accessed July 25, 2013.
Orbital cellulitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 13, 2012. Accessed July 25, 2013.
Givner LB. Periorbital versus orbital cellulitis. Ped Infect Dis J. 2002; 21:1157-1158.
Periorbital cellulitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 14, 2010. Accessed July 25, 2013.
Preseptal and orbital cellulitis. Pediatric Care Online website. Available at: http://www.pediatriccareonline.org/pco/ub/view/Point-of-Care-Quick-Reference/397218/0/Preseptal%5Fand%5FOrbital%5FCellulitis. Updated March 8, 2010. Accessed July 25, 2013.
1/5/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Pushker N, Tejwani LK, et al. Role of oral corticosteroids in orbital cellulitis. Am J Ophthalmol. 2013;156(1):178-183.
- Reviewer: Eric Berman, MD
- Review Date: 06/2014 -
- Update Date: 01/05/2015 -