title: Management of preseptal and orbital cellulitis.
abstract: 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.
authors: Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA.
authors: Seongmu
authors: S
authors: Lee
authors: Michael T
authors: MT
authors: Yen
keywords: Evaluation; Management; Orbital cellulitis
references: Laryngoscope. 1996 Aug;106(8):1010-3
references: 8699891
references: Arch Ophthalmol. 1983 May;101(5):751-7
references: 6847463
references: Ann Ophthalmol. 1991 Dec;23(12):454-7
references: 1785902
references: J Craniofac Surg. 2010 May;21(3):934-6
references: 20485088
references: Pediatr Infect Dis J. 1987 Apr;6(4):404-10
references: 3455657
references: Can J Ophthalmol. 1981 Oct;16(4):178-80
references: 7344761
references: Radiol Clin North Am. 1998 Nov;36(6):1165-83, xi
references: 9884695
references: Arch Ophthalmol. 2002 Aug;120(8):1096-9
references: 12149070
references: Ophthalmology. 2007 Feb;114(2):345-54
references: 17270683
references: Ann Otol Rhinol Laryngol. 1999 May;108(5):459-62
references: 10335706
references: Ophthalmology. 2000 Aug;107(8):1454-6; discussion 1457-8
references: 10919887
references: Otolaryngol Clin North Am. 1993 Dec;26(6):1007-35
references: 8290280
references: Radiology. 1986 Mar;158(3):735-7
references: 3945747
references: Pediatrics. 1978 Dec;62(6):1006-9
references: 310537
references: Infect Dis Clin North Am. 1992 Dec;6(4):933-52
references: 1460272
references: J Pediatr Ophthalmol Strabismus. 1998 Mar-Apr;35(2):73-9; quiz 110-1
references: 9559505
references: J Laryngol Otol. 2003 Apr;117(4):280-5
references: 12816217
references: Curr Opin Pediatr. 2008 Jun;20(3):243-7
references: 18475090
references: Ophthalmic Plast Reconstr Surg. 1996 Mar;12(1):1-8
references: 8652454
references: Ophthalmology. 2000 Aug;107(8):1450-3
references: 10919886
references: Trans Am Ophthalmol Soc. 1988;86:94-108; discussion 108-12
references: 2979034
references: Ophthalmology. 1995 Dec;102(12):1902-7
references: 9098294
references: Ophthalmology. 2001 Jul;108(7):1167-9
references: 11425657
references: J Laryngol Otol. 2003 Nov;117(11):861-5
references: 14670145
references: Ophthalmic Plast Reconstr Surg. 2004 May;20(3):217-23
references: 15167730
references: JAMA. 1984 Nov 9;252(18):2581-4
references: 6333520
references: Can J Ophthalmol. 2007 Dec;42(6):865-9
references: 17938646
references: Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):387-9
references: 16234708
references: Am J Ophthalmol. 1994 Sep 15;118(3):391-2
references: 8085597
references: Laryngoscope. 1970 Sep;80(9):1414-28
references: 5470225
references: J AAPOS. 1998 Dec;2(6):351-5
references: 10532723
references: Curr Opin Otolaryngol Head Neck Surg. 2004 Feb;12(1):9-13
references: 14712112
references: Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 2):S41-9
references: 9334787
references: Ophthalmology. 1994 Mar;101(3):585-95
references: 8127580
references: Clin Exp Dermatol. 1994 Jul;19(4):321-3
references: 7955474
references: J Pediatr Ophthalmol Strabismus. 1989 Jan-Feb;26(1):21-7
references: 2915307
references: Ophthalmology. 1990 May;97(5):608-11
references: 2188193
references: Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):363-6; discussion 366-7
references: 16234700
references: Otolaryngol Head Neck Surg. 2009 Jun;140(6):907-11
references: 19467413
references: Arch Otolaryngol Head Neck Surg. 2001 Mar;127(3):281-6
references: 11255472
references: Otolaryngol Head Neck Surg. 2005 Jul;133(1):32-7
references: 16025049
references: Ophthalmology. 1979 May;86(5):876-80
references: 545216
references: Laryngoscope. 2002 Oct;112(10):1827-30
references: 12368623
references: Ophthalmology. 1998 Oct;105(10):1902-5; discussion 1905-6
references: 9787362
references: Ann Ophthalmol. 1985 Aug;17(8):498-9
references: 3901857
references: Am J Ophthalmol. 2007 Oct;144(4):497-501
references: 17698020
references: Clin Otolaryngol Allied Sci. 2004 Dec;29(6):725-8
references: 15533168
references: J Pediatr Ophthalmol Strabismus. 1989 Sep-Oct;26(5):232-4; discussion 235
references: 2795411
references: Clin Otolaryngol Allied Sci. 1985 Aug;10(4):209-16
references: 4053422
references: Laryngoscope. 1982 Jul;92(7 Pt 1):732-8
references: 7087640
references: Am J Rhinol. 2000 Jul-Aug;14(4):217-22
references: 10979493
references: Arch Ophthalmol. 1976 May;94(5):785-8
references: 1267655
references: J Pediatr Ophthalmol Strabismus. 1994 Sep-Oct;31(5):325-6
references: 7837022
references: Am J Ophthalmol. 2006 Dec;142(6):1046-53
references: 17157589
references: Acta Otolaryngol. 1996 Mar;116(2):164-6
references: 8725505