Periorbital Cellulitis

10 min read

Periorbital cellulitis is an infection of the eyelid and the area around the eye. It is caused by bacteria, usually Staphylococcus aureus or Streptococcus pyogenes. It is most common in children, but can occur in adults as well. It is a serious condition that can lead to vision loss if not treated promptly.

Causes

Periorbital cellulitis is usually caused by bacteria entering the eye area through a break in the skin, such as a cut or scratch. It can also be caused by an infection in the sinuses or a nearby infection, such as an ear infection. It can also be caused by an insect bite or a foreign object in the eye.

Risk Factors

Children are more likely to develop periorbital cellulitis than adults. Other risk factors include having a weakened immune system, having diabetes, or having a skin condition such as eczema. People who wear contact lenses are also at an increased risk.

Diagnosis

Periorbital cellulitis is diagnosed based on a physical examination and a review of the patient's medical history. The doctor may also order tests, such as a blood test or a culture of the affected area, to confirm the diagnosis.

Complications

If left untreated, periorbital cellulitis can lead to serious complications, such as vision loss, meningitis, or an infection of the brain. It can also spread to other parts of the body, such as the lungs or heart.

Prevention

To reduce the risk of periorbital cellulitis, it is important to keep the area around the eyes clean and dry. It is also important to avoid contact with people who have an infection, and to practice good hygiene, such as washing your hands regularly.

Take the Periorbital Cellulitis Assessment

Symptoms

  • Redness and swelling of the eyelid and area around the eye
  • Pain and tenderness around the eye
  • Fever
  • Headache
  • Blurred vision
  • Sensitivity to light
  • Discharge from the eye

If you experience any of these symptoms, it is important to seek medical attention immediately. Your doctor will likely prescribe antibiotics to treat the infection. In some cases, surgery may be necessary to drain the infection.

Causes

Risk Factors

There are several risk factors that can increase the likelihood of developing periorbital cellulitis. These include:

  • Having a weakened immune system
  • Having a skin condition such as eczema or psoriasis
  • Having a sinus infection
  • Having a recent injury or surgery near the eye
  • Having a foreign object in the eye
  • Having a history of allergies

Complications

If left untreated, periorbital cellulitis can lead to serious complications, such as:

  • Infection of the brain or other organs
  • Vision loss
  • Scarring of the eyelid
  • Permanent damage to the eye

Diagnosis and Treatment

Periorbital cellulitis is usually diagnosed based on a physical examination and a review of the patient's medical history. Treatment typically involves antibiotics and possibly surgery. It is important to seek medical attention as soon as possible to prevent complications.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look for signs of infection, such as redness, swelling, and tenderness around the eye. The doctor may also check for signs of fever, such as a warm forehead or flushed cheeks.

Laboratory Tests

The doctor may order laboratory tests to confirm the diagnosis of periorbital cellulitis. These tests may include a complete blood count (CBC) to check for signs of infection, a culture of the fluid from the infected area, and a sensitivity test to determine which antibiotics will be most effective in treating the infection.

Imaging Tests

Imaging tests, such as an X-ray or CT scan, may be ordered to check for any underlying conditions that may be causing the infection. These tests can also help the doctor determine the extent of the infection and rule out other possible causes.

Treatment

Treatment for periorbital cellulitis typically involves antibiotics and supportive care. The doctor may also recommend warm compresses to reduce swelling and pain. In severe cases, hospitalization may be necessary.

Questions for Your Doctor

Questions to Ask Your Doctor

  • What are the symptoms of periorbital cellulitis?
  • What tests will you need to diagnose periorbital cellulitis?
  • What is the best treatment for periorbital cellulitis?
  • What are the potential complications of periorbital cellulitis?
  • What can I do to prevent periorbital cellulitis?

What to Tell Your Doctor

When you visit your doctor, it is important to provide as much information as possible. Be sure to tell your doctor if you have any of the following:

  • Recent eye injury or surgery
  • Recent sinus infection
  • Recent cold or flu
  • Recent contact with someone with an eye infection
  • Recent contact with animals
  • Any allergies or medical conditions

Your doctor will also need to know about any medications you are taking, including over-the-counter medications, vitamins, and supplements.

Conclusion

Periorbital cellulitis is a serious condition that can cause vision loss if not treated promptly. If you suspect you may have periorbital cellulitis, it is important to speak to your doctor as soon as possible. Be sure to provide your doctor with as much information as possible, including any recent eye injuries or surgeries, recent illnesses, contact with animals, allergies, and medications.

Treatment

Antibiotics

Antibiotics are the mainstay of treatment for periorbital cellulitis. Oral antibiotics are usually prescribed for mild cases, while intravenous antibiotics may be necessary for more severe cases. The type of antibiotic prescribed will depend on the type of bacteria causing the infection. Commonly prescribed antibiotics include amoxicillin, clindamycin, and cefazolin.

Supportive Care

In addition to antibiotics, supportive care is also important in treating periorbital cellulitis. This may include cold compresses to reduce swelling, pain relievers to reduce discomfort, and eye drops to reduce inflammation. In some cases, a hospital stay may be necessary to monitor the patient and provide supportive care.

Surgery

In some cases, surgery may be necessary to treat periorbital cellulitis. Surgery may be used to drain an abscess or remove infected tissue. Surgery may also be used to repair any damage caused by the infection. Surgery is typically only recommended in severe cases or when other treatments have failed.

Prevention

The best way to prevent periorbital cellulitis is to practice good hygiene. This includes washing your hands regularly, avoiding touching your eyes with unwashed hands, and avoiding contact with people who have an infection. If you have any cuts or scrapes near your eyes, be sure to keep them clean and covered with a bandage.

Drugs & Medications

Treatment for Periorbital Cellulitis

Treatment for periorbital cellulitis typically involves antibiotics. Oral antibiotics are usually prescribed, although in some cases, intravenous antibiotics may be necessary. In addition, warm compresses may be used to reduce swelling and pain. In severe cases, surgery may be necessary to drain the infection.

Drugs Used to Treat Periorbital Cellulitis

The most common antibiotics used to treat periorbital cellulitis are penicillin, amoxicillin, and cephalosporins. Other antibiotics, such as clindamycin, may be used if the infection is caused by a resistant strain of bacteria. In addition, topical antibiotics, such as bacitracin, may be used to reduce the risk of infection spreading to other parts of the face.

Conclusion

Periorbital cellulitis is a serious infection that can lead to serious complications if left untreated. Treatment typically involves antibiotics, either orally or intravenously, as well as warm compresses and, in some cases, surgery. Common antibiotics used to treat periorbital cellulitis include penicillin, amoxicillin, and cephalosporins, as well as topical antibiotics such as bacitracin. It is important to seek medical attention if you suspect you have periorbital cellulitis.

Diet

Nutrition for Periorbital Cellulitis

A healthy diet is important for overall health and can help reduce the risk of infection. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help boost the immune system and reduce inflammation. It is also important to drink plenty of fluids, such as water, to stay hydrated and help flush out toxins.

In addition, certain foods may help reduce inflammation and boost the immune system. These include foods high in antioxidants, such as berries, dark leafy greens, and nuts. Foods high in omega-3 fatty acids, such as salmon, tuna, and flaxseed, may also help reduce inflammation. Eating probiotic-rich foods, such as yogurt and kefir, may also help boost the immune system.

Foods to Avoid

Certain foods may increase inflammation and weaken the immune system. These include processed foods, such as chips, crackers, and cookies, as well as fried foods. It is also important to limit sugar and refined carbohydrates, such as white bread and pasta. Alcohol and caffeine should also be avoided, as they can weaken the immune system.

Conclusion

Periorbital cellulitis is an infection of the eyelid and the area around the eye. While antibiotics are the primary treatment for periorbital cellulitis, there are certain dietary changes that can help reduce the risk of infection and speed up recovery. Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help boost the immune system and reduce inflammation. In addition, certain foods may help reduce inflammation and boost the immune system. It is also important to avoid processed foods, fried foods, sugar, refined carbohydrates, alcohol, and caffeine.

Lifestyle

1. Practice Good Hygiene

Good hygiene is essential for preventing periorbital cellulitis. Wash your hands often with soap and water, especially after touching your eyes or face. Avoid sharing towels, washcloths, and other personal items with others. Keep your face clean by washing it twice a day with a mild soap and warm water.

2. Avoid Rubbing Your Eyes

Rubbing your eyes can irritate the delicate skin around the eyes and increase the risk of infection. If you need to remove something from your eye, use a clean tissue or cotton swab. Do not use your fingers or fingernails.

3. Wear Protective Eyewear

Wearing protective eyewear can help reduce the risk of periorbital cellulitis. Wear safety glasses or goggles when participating in activities that could cause eye injury, such as sports or working with power tools. Wear sunglasses when outdoors to protect your eyes from the sun’s ultraviolet rays.

4. Avoid Contact Lenses

Contact lenses can increase the risk of periorbital cellulitis. If you wear contact lenses, make sure to follow the instructions for cleaning and disinfecting them. Do not wear contact lenses if your eyes are red, irritated, or infected.

5. Get Regular Eye Exams

Regular eye exams can help detect any changes in your eyes that could indicate an infection. If you have any symptoms of periorbital cellulitis, such as redness, swelling, or pain around the eyes, see your doctor right away.

Conclusion

Periorbital cellulitis is a serious infection that can cause vision loss if not treated promptly. By following these lifestyle tips, you can reduce your risk of developing this condition.