Orbital cellulitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients present with sudden onset of fever, proptosis, restricted eye movement, and swelling and redness of the eye lids. It is usually caused by a previous sinusitis. Patients commonly complain of pain when moving the eye, sudden loss of vision, bulging of the eye or eyes that are infected and limited eye movement. Along with these symptoms, patients typically have redness and swelling of the eyelid, pain, discharge, inability to open the eye, occasional fever and lethargy. It is usually caused by a previous sinusitis. Other causes include infection of nearby structures, trauma and previous surgery.
History and Symptoms
History
A positive history of fever, proptosis, pain or difficulty with ocular movements, and eyelid edema and erythema is suggestive of orbital cellulitis. Additionally, patients with orbital cellulitis often have a recent history of rhinosinusitis, upper respiratory tract infection, facial insect bite, orbital surgery or trauma, tooth abscess, or otitis media.
Common Symptoms
Common symptoms of orbital cellulitis include:
- Eye lid edema
- Eye lid erythema
- Fever
- Proptosis
- Pain and/or restricted ocular movements
Less Common Symptoms
Less common symptoms of Orbital cellulitis include:
- Purulent discharge
- Vision loss
- Diplopia