Sunday, May 16, 2010

Periorbital Cellulitis, Signs and Symptoms

Periorbital cellulitis

Periorbital cellulitis, also known as preseptal cellulitis is an inflammation and infection of the eyelid and portions of skin around the eye, anterior to the septum. It may be caused by breaks in the skin around the eye, and subsequent spread to the eyelid; infection of the sinuses around the nose (sinusitis); or from spread of an infection elsewhere through the blood.

Periorbital cellulitis is more common in children than it is in adults. Symptoms of periorbital cellulitis include fever, redness, and swelling of the eyelid. Periorbital cellulitis happens when infection-causing bacteria (like staphylococcus or streptococcus) is introduced into the eyelid by a scratch, a bug bite, a sty, or a chalazion. There is generally redness and swelling of the eyelid and the surrounding area, but unlike orbital cellulitis (a more extensive infection involving deeper tissue), periorbital cellulitis does not cause protrusion of the eyeball (proptosis) or limit its movements. Periorbital cellulitis is most common in children under six years of age.
Causes
Staphylococcus and streptococcus species are commonly implicated. The advent of the Haemophilus influenzae vaccine has dramatically decreased the incidence of periorbital and orbital cellulitis
Signs and Symptoms of Periorbital cellulitis
There is generally redness and swelling of the eyelid and the surrounding area, but unlike orbital cellulitis, periorbital cellulitis does not cause protrusion of the eyeball or limit its movements. Signs of the primary infection are also often present (eg, nasal discharge and bleeding with sinusitis, periodontal pain and swelling with abscess)

Periorbital cellulitis

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