Difference between Preseptal and Orbital Cellulitis

Difference between Preseptal Cellulitis and Orbital cellulitis

		Preseptal Cellulitis	Orbital Cellulitis
Anatomical Location		Anterior to orbital septum	Behind orbital septum
		Only periorbital skin and eyelid involved	Orbit is involved
Causes		Internal Herdeolum Acute Dacrocystitis Lid Trauma Insect Bite	Infected Sinus Spread of infection from teeth, face and lid
Age group			Common in Children
Clincal Features	Proptosis	absent	Axial Type
	Extraocular Movement	Normal	Restricted and painful
	Conjuctival congestion	Absent	Present and Necrotic
	Fever	Present	Present with vomiting and Prostation
	Vision	Normal	May be lost
	Pupillary reaction	Normal	May be lost
Complications		Orbital Cellulitis	Orbital: Subperiosteal and orbital Abscesses
			Ocular Blinding, Optic Neuritis, CRAO, Exposure keratitis
			Temporal, Intracranial or systemic Infection
Management	Medical	Oral Systemic Antibiotics	Ocular emergency Hospital Admission Intensive Broad spectrum antibiotic Therapy
	Surgical		STRONGLY CONTRAINDICATED Needle Aspiration and I and D
		Exploration and debridement	Canthotomy/Cantholysis

Various Types of cellulitis in Eye