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Preseptal Cellulitis

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41. Management of preseptal and orbital cellulitis (PubMed)

Management of preseptal and orbital cellulitis Orbital cellulitis describes an infection involving the soft tissues posterior to the orbital septum, including the fat and muscle within the bony orbit. This condition may be associated with severe sight and life-threatening complications. Despite significant advances in antimicrobial therapies and diagnostic technologies, the management of orbital cellulitis often remains challenging, and rapid diagnosis and prompt initiation of therapy (...) are important in minimizing complications and optimizing outcomes. This review summarizes the distinctive characteristics of preseptal and orbital cellulitis, with a focus on anatomic considerations, predisposing conditions, approaches to evaluation, and management strategies.

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2010 Saudi Journal of Ophthalmology

42. Orbital Cellulitis

and orbits with IV Contrast (preferred in most cases) or MRI sinuses and orbits Indications: Distinguish preseptal from Orbital Cellulitis (and evaluate sinus involvement) Change in Decreased s Eye not able to be examined (e.g. due to local ) VII. Differential Diagnosis Orbital pseudotumor Other tumors Neurofibroma Glioma of the Dermoid cyst Lymphangioma Wilms tumor VIII. Management ral Observe in hospital with at least daily and Repeat CT sinuses/orbits if not improved in 48 hours Antibiotics course: 7 (...) Orbital Cellulitis Orbital Cellulitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Orbital Cellulitis Orbital Cellulitis Aka

2015 FP Notebook

43. Assessment of ptosis

laceration Blepharophimosis Myasthenia gravis Multiple sclerosis Blepharochalasis Giant cell arteritis Preseptal cellulitis Globe malposition Benign essential blepharospasm (BEB) Third nerve palsy Horner's syndrome Transection of levator muscle or aponeurosis Orbital and facial fracture Contributors Authors Milan Eye Center Oculoplastic Surgery Johns Creek GA Disclosures KS declares that he has no competing interests. Professor of Ophthalmology Illinois Eye and Ear Infirmary University of Illinois (...) , acquired aponeurotic and involutional ptosis in downgaze From the collection of Dr Allen Putterman [Citation ends]. Differentials Involutional changes Prolapsed orbital fat Dermatochalasis Congenital myogenic ptosis Thyroid eye disease Previous eye-related surgery or implant Chalazion Stye (hordeolum) Uveitis Orbital cellulitis Orbital inflammatory syndrome Eyelid tumours Orbital tumours Chronic progressive external ophthalmoplegia (CPEO) Cerebrovascular accident (CVA) Eyelid foreign body Eyelid

2018 BMJ Best Practice

44. Conjunctivitis (acute allergic)

allergic conjunctivitis Chemical trauma Preseptal or orbital cellulitis Management by optometrist Practitioners should recognise their limitations and where necessary seek further advice or refer the patient elsewhere GRADE* Level of evidence and strength of recommendation always relates to the statement(s) immediately above Non pharmacological Reassure patient: most cases resolve spontaneously within a few hours Advise against eye rubbing (causes mechanical mast cell degranulation) Cool compresses may

2019 College of Optometrists

45. Sinusitis - Child

not provide sufficient anatomical coverage for evaluation for complications. In addition, potential complications such as orbital or preseptal/periorbital cellulitis, subperiosteal abscess, or subdural/epidural collections are inadequately visualized and may be missed in the absence of IV contrast administration. Therefore CT with IV contrast of the sinuses to include the orbits and brain is recommended [23,65]. A reported benefit of contrast-enhanced CT for detection of sinusitis-related complications (...) that suggest intracranial complications include Pott puffy tumor, altered consciousness, seizures, hemiparesis, and cranial nerve palsy [19-23]. Ethmoid sinusitis can lead to spread of infection through the lamina papyracea, a thin bone that separates the medial orbital wall from the ethmoid sinuses [26]. Manifestations of orbital involvement include medial orbital wall subperiosteal abscess, periorbital cellulitis, and ocular findings (eg, abnormal visual examination, ophthalmoplegia, or proptosis

2018 American College of Radiology

46. Blepharitis

conjunctivitis Differential diagnosis Allergy Dermatoconjunctivitis medicamentosa (see Clinical Management Guideline on ) Dacryocystitis Parasitic infestation (e.g. Phthirus pubis infestation) Preseptal cellulitis Herpes (simplex or zoster) Meibomian gland carcinoma (usually unilateral) Management by optometrist Practitioners should recognise their limitations and where necessary seek further advice or refer the patient elsewhere GRADE* l evel of evidence and strength of recommendation always relates

2018 College of Optometrists

47. Dacryocystitis (acute)

sac is filled with mucoid material in the absence of infection) Frequently, patients may present with conjunctivitis and preseptal cellulitis. Rarely, the infection extends behind the septum, causing orbital cellulitis Differential diagnosis Facial cellulitis, preseptal cellulitis, orbital cellulitis (check ocular motility and look for proptosis) (Refer to Clinical Management Guideline on ) Acute frontal sinusitis (inflammation involves the upper eyelid) Infection following superficial trauma (...) also cause conjunctivitis (infection of the transparent membrane over the white of the eye) and cellulitis (infection of the soft tissues surrounding the eye). Sometimes the sac bursts, releasing pus on to the skin surface. It is important to try to distinguish between this condition and a serious infection of the eye socket (orbital cellulitis) itself, especially in children, who should be referred to hospital the same day for emergency treatment. Treatment includes antibiotics, which may have

2018 College of Optometrists

48. Dacryocystitis (chronic)

dacryocystitis Swelling at or below medial canthus May be possible to express mucoid (opalescent) discharge Differential diagnosis Canaliculitis, sinusitis, sebaceous cyst, preseptal cellulitis, tumour or granulomatous lesion causing nasolacrimal obstruction (blood in tears may suggest this) (See also Clinical Management Guideline on ) Management by optometrist Practitioners should recognise their limitations and where necessary seek further advice or refer the patient elsewhere GRADE* Level of evidence

2018 College of Optometrists

49. Hordeolum

Preseptal cellulitis Haematoma of eyelid Acute dacryocystitis Chalazion (blockage of Meibomian gland with cyst formation) Sebaceous cell carcinoma Management by optometrist Practitioners should recognise their limitations and where necessary seek further advice or refer the patient elsewhere GRADE* l evel of evidence and strength of recommendation always relates to the statement(s) immediately above Non pharmacological Most resolve spontaneously or discharge, followed by resolutionIn the case

2018 College of Optometrists

50. Guidelines for care of patients with actinic keratosis

and six had ocular stinging, with conjunctivitis in three for over 2 weeks. Antibiotics were needed in three, for preseptal cellulitis in two of them. Nine patients discontin- ued imiquimod due to ocular irritation and conjunctivitis, of whom four patients recommenced and ?nished the treatment after a rest period. At a mean follow-up of 16 weeks, 34 (72%) patients had clinical clearance of the periocular lesions and no patient had any residual ophthalmic side-effects from imiquimod. There is no good

2017 British Association of Dermatologists

51. Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy (PubMed)

Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis.We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal

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2018 American journal of ophthalmology case reports

52. Intravenous Administration of Medications in Home Care Settings

antibiotics in hospital No difference in the rate of line infections associated with home administration. Brugha, 2012 5 Children with preseptal cellulitis n = 63 IV antibiotics administered on an ambulatory basis IV antibiotics in hospital No difference in duration of treatment or rate of complications between groups. Collaco, 2010 6 Patients with cystic fibrosis n = 1,535 IV antibiotics at home IV antibiotics in hospital • Long term decline in FEV1 observed in both groups. • No difference in time (...) events: a retrospective cohort study. Eur J Clin Microbiol Infect Dis. 2012 Oct;31(10):2611-9. PubMed: PM22526869 5. Brugha RE, Abrahamson E. Ambulatory intravenous antibiotic therapy for children with preseptal cellulitis. Pediatr Emerg Care. 2012 Mar;28(3):226-8. PubMed: PM22344208 6. Collaco JM, Green DM, Cutting GR, Naughton KM, Mogayzel PJ Jr. Location and duration of treatment of cystic fibrosis respiratory exacerbations do not affect outcomes. Am J Respir Crit Care Med [Internet]. 2010 Nov 1

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

53. Orbital Complications of Rhinosinusitis in the Adult Population: Analysis of Cases Presenting to a Tertiary Medical Center Over a 13-Year Period. (PubMed)

. The majority of the previously operated patients (61%) had some form of orbital wall dehiscence noted on imaging. Preseptal cellulitis was the most common complication (61.5%) encountered, followed by orbital cellulitis (23%), sub-periosteal abscess (11.5%), orbital abscess (3%), and cavernous sinus thrombosis (1.5%). Gram-positive bacteria were more commonly isolated from acute rhinosinusitis patients and gram-negative bacteria from chronic rhinosinusitis (CRS) patients. Complete recovery was noted in all (...) in patients with preseptal and orbital cellulitis. In more advanced stages, surgical drainage is advocated with excellent results. Larger cohort studies are needed to further investigate this patient group.

2019 Rhinology and Laryngology

54. Paediatric orbital and periorbital infections. (PubMed)

Paediatric orbital and periorbital infections. This study is a review of recent literature in the diagnosis and management of preseptal cellulitis, orbital cellulitis and dacryocystitis, including causative organisms, diagnosis and medical or surgical therapy and potential complications.Advances in vaccination against Haemophilus influenzae B have resulted in a shift in the most common causative organisms of preseptal and orbital cellulitis. Management of orbital cellulitis has been advanced (...) by adjuvant corticosteroids, and subperiosteal abscess volumes of more than 1250 ml has been shown as predictive for requiring potential surgical intervention.Periorbital infections require prompt evaluation and management. Although the infectious organisms in both preseptal and orbital cellulitis include Staphylococcus/Streptococcus species, management may differ significantly on the basis of the nidus of infection, presenting signs and symptoms, and response to initial medical management.

2019 Current opinion in ophthalmology

55. Right orbital edema masquerading a hematologic malignancy (PubMed)

manifestations of multiple myeloma.Our patient's presentation was associated with a throbbing frontal headache, nasal congestion, malaise, and weight loss. Differential diagnosis on admission included giant cell arteritis, conjunctivitis, preseptal cellulitis, glaucoma, acute sinusitis, or cavernous sinus thrombosis. Extensive ophthalmologic evaluation did not show any intraocular abnormality. However, a magnetic resonance imaging of the brain showed hyperintense foci in the right frontal calvarium leading

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2018 SAGE Open Medical Case Reports

56. Imagerie de la cellulite orbitaire chez l’enfant: à propos de 56 cas (PubMed)

and child CHU Mohamed VI, Marrakech over a period of six years (January 2011-October 2017). Patients underwent cranio-orbital CT scan. The average age of patients was 5 years, with a slight female predominance. The disease mainly involved the sinus (22 patients). The analysis of computed tomography results highlighted 37 cases of preseptal cellulitis (66%), 3 cases of isolated retroseptal cellulitis (5%), 16 cases of mixed cellulitis (28%), 8 cases of exophthalmia (14%) and 4 cases of subperiosteal (...) Imagerie de la cellulite orbitaire chez l’enfant: à propos de 56 cas Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on clinical examination and imaging (CT or MRI). This study aims to highlight the role of imaging, in particular CT scan, in the diagnosis and in the treatment of this pathology. We conducted a retrospective study of 56 cases of orbital cellulitis, whose data were collected in the Department of Radiology at the Hospital mother

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2018 The Pan African medical journal

57. Things Are Not Always What They Seem: Two Cases of Child Maltreatment Presenting With Common Pediatric Chief Complaints. (PubMed)

Things Are Not Always What They Seem: Two Cases of Child Maltreatment Presenting With Common Pediatric Chief Complaints. We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl who presented with progressive right eye pain, swelling, and discharge. She was initially treated for preseptal cellulitis, but eye cultures ultimately grew Neisseria gonorrhoeae. Further investigation revealed

2018 Pediatric Emergency Care

58. Minimally Invasive Surgery for Pott's Puffy Tumor: Is It Time for a Paradigm Shift in Managing a 250-Year-Old Problem? (PubMed)

etiology was acute frontal sinusitis (62%), followed by a history of chronic rhinosinusitis (28%). Two patients presented with concomitant preseptal cellulitis and cutaneous fistula each, while another had pneumocephalus. The majority of cases (59%) had Draf 1 procedure. Three cases had Draf 3 procedure. Five cases were successfully treated by sinus balloon sinuplasty. Postoperatively, most patients had either oral or intravenous antibiotics of varying duration. There were no further complications

2017 Rhinology and Laryngology

59. Evaluation of patients with orbital infections (PubMed)

features, laboratory and radiology results, treatment modalities, and the response to these treatments.Thirty-six patients (21 males, 15 females) with an average age of 71.43±42.24 months (5-168 months) participated in the study in the two-year period. Thirty-two patients (88.9%) had preseptal cellulitis, and four (11.9%) had orbital cellulitis. All patients had eyelid hyperemia, edema, and ocular pain, with chemosis in seven and proptosis in four cases. Twenty-five patients were admitted with fever (...) . All cases were unilateral and 44.4% occurred secondary to paranasal sinusitis. All cases were treated with intravenous cefazolin-amikacin. The mean of duration of hospitalization was 12.02±8.75 days (range, 3-28 days) and the duration of parental antibiotics was 12.83±8.18 days (range, 7-21 days). All patients recovered without any vision loss, only one patient experienced subdural empyema complicating preseptal cellulitis.Most orbital tissue infections occur secondary to paranasal sinusitis

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2017 Turkish Archives of Pediatrics/Türk Pediatri Arşivi

60. Clinical Outcome of Probing in Infants with Acute Dacryocystitis – A Prospective Study (PubMed)

and to analyse the factors affecting it.A prospective interventional study was designed and infants presenting with acute dacryocystitis with or without complications like dacryocystopyocele/ lacrimal abscess/preseptal cellulitis at a Tertiary Eye Care Centre from May 2014 to April 2016 were enrolled. Demographic details and baseline clinical characteristics were noted. Intravenous antibiotics were started and probing under general anaesthesia was done. Follow up was done after one month. Success was defined (...) as subsidence of acute attack and resolution of epiphora at final follow up of one month.A total 20 eyes of 18 patients were included with male: female ratio 10:8. Mean age of patients was 6.5 months and the mean duration of symptoms was 5.6 days. Dacryocystitis with lacrimal swelling was present in five eyes, preseptal cellulitis was present in two eyes while the rest 13 eyes presented with simple inflammation over the lacrimal sac. After one month, 85% (17eyes) had complete resolution of symptoms

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2017 Journal of clinical and diagnostic research : JCDR

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