orbital cellulitis

Question 1

what is orbital cellulitus?

Answer 1

infection of soft tissues in the orbit

Question 2

what is orbital cellulitus?

Answer 2

infection of soft tissues in the orbit

Question 3

what is it commonly caused by?

Answer 3

bacterial infection spread from sinus

Question 4

what is more serious orbital or pre septal ?

Answer 4

orbital !!

Question 5

what is more serious orbital or pre septal ?

Answer 5

orbital !!

Question 6

clinical signs

Answer 6

• periorbital swelling
  x severe orbital pain
• fever
• conjunctivitis and chemosis
• loss of colour vision
• proptosis
• impiared ocular motility
• RAPD

Question 7

symptoms

Answer 7

• sudden onset unilateral swelling of conjunctiva and lids
• pain on ocular movement
• blurred vision
• diplopia
• fever
• severe malaise

Question 8

management by optom?

Answer 8

Emergency same day referral to ophthalmologist or A+E

Question 9

management in HES?

Answer 9

CT scan of orbit and sinuses
blood tests including ESR
admission to hospital
intravenous systemic antibiotics + sateroid

Question 10

how to differentiate between orbital and pre septal?

Answer 10

Question 11

if someone comes in with pre septsl what do you do ?

Answer 11

refer as same day as could be orbital