Preseptal Cellulitis is an infectious condition of the eyelids which typically presents with tender and red eyelids, unilateral or bilateral, and perhaps a mild fever. In severe cases, the eyelids may be so tensely swollen that the eye may not open. There is no pain with eye movement, however.
The diagnosis is a clinical one, though in severe cases, a CT or MRI scan may be required to rule-out orbital cellulitis (see below). In adults, the causative agent is usually a staphylococcus ("staph") or streptococcus ("strep"). In children, a bacteria known as Hemophilus influenza may be causative. The latter bacteria is not associated with the common flu, which is caused by the influenza virus. Sinusitis is probably the most commonly associated infectious condition, but the physician will also consider the possibility of puncture wounds, lacerations, retained foreign bodies following trauma, and other localized infectious processes.
Treatment is with oral antibiotics in most cases though IV antibiotics and even hospitalization may be required in more severe cases. The attending physician usually monitors the patient every one to three days until the condition resolves.
Nasolacrimal Duct Obstruction
Related Eye Procedures
There are no related Eye Procedures.
Cataract / General
Pupil reflex test
Differentiation of orbital cellulitis from preseptal cellulitis by computed tomography
Eye Infections and Conjunctivities