Orbital Cellulitis

Medgeeks Clinical Review Podcast

Your next patient is an 8yo girl; her mother brought her to your office because she has a red painful left eye. Her mother believes this is “Pink Eye”. There has been no drainage or any known exposure.

On exam, you see a significant amount of edema and erythema of the upper and lower eyelids and the surrounding soft tissue. The patient’s eye is effectively swollen shut and she is complaining of pain when you try to open the eye. However, you can see there is conjunctival injection.

She has a low grade fever of 101.3, but otherwise she is non-toxic appearing and behaving normally.

So what do you think is going on? How are you going to approach this patient’s symptoms? Is the mother right about this being pink eye?

Today, on the Medgeeks podcast, we’ll be discussing acute eye complaints.

We’ll be discussing:

• How to differentiate between Pre-septal and Periorbital Cellulitis.
• What you’ll see on your Physical Exam
• How to treat orbital cellulitis

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