Presents with significant Eyelid oedema and erythema. (patient may not have a fever)
Look for RED FLAGS: Proptosis chemosis Ophthalmoplegia Painful eye movements Altered visual acuity or blurring Relative afferent pupillary defect Systemically unwell If post-septal cellulitis suspected (Red flags present) investigations include: bloods, blood cultures, IV abx (local guidance important), referral to ophthalmology and Paediatrics +/- urgent Contrast CT orbits . Surgical drainage may be required if the symptoms fail to respond to IV Abx Further reading: Periorbital Vs Orbital cellulitis by Don't forget the bubbles Eye infections from RCEM learning Martin Dore Jan 2022
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