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PERIORBITAL CELLULITIS

PERIORBITAL CELLULITIS. Karen R Brungard MD. CELLULITIS. PRESEPTAL OR ORBITAL. OBJECTIVES. Define preseptal and orbital cellulitis Review complications Discuss workup and treatment options. Imitators.

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PERIORBITAL CELLULITIS

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  1. PERIORBITAL CELLULITIS Karen R Brungard MD

  2. CELLULITIS • PRESEPTAL OR • ORBITAL

  3. OBJECTIVES • Define preseptal and orbital cellulitis • Review complications • Discuss workup and treatment options

  4. Imitators

  5. PRESEPTAL CELLULITIS is an infection of the soft tissue of the eyelids and periorbital structures anterior to the orbital septum ORBITAL CELLULITIS is an infection of the orbital soft tissue posterior to the orbital septum DEFINITION

  6. ORBITAL SEPTUM • The orbital septum is a layer of fascia extending vertically from the periosteum of the orbital rim to the leavator aponeurosis of the upper lid and to the tarsal plate of the lower lid.

  7. Orbital Anatomy

  8. PATHOGENISIS • Localized eyelid infection • Hordolea, chalazia, dacryocystitis • Trauma • Dental • Sinusitis

  9. ANATOMY

  10. Orbital Anatomy

  11. Anatomy

  12. Anatomy

  13. Complications of Orbital Cellulitis • Intracranial 4% Meningitis 2% Cavernous sinus thrombosis 1% Brain, Subdural and Epidural abscess 1% • Orbital abscess 9% Subperiosteal abscess 7% Orbital abscess 2% • Vision loss 1%

  14. COMPARISON

  15. Preseptal Cellulitis

  16. ORBITAL CELLULITIS

  17. Proptosis &Chemosis

  18. Motility

  19. Strep & Staph M. catarrhalis Anaerobes H Flu MRSA

  20. Maxillary Ethmoid Frontal Sphenoid Acute chronic Acute chronic Acute chronic Acute chronic

  21. ORBITAL CELLULITIS

  22. TREATMENT IV UNASYN

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