Questions: What findings on exam are consistant with orbital cellulitis?

Answer: When aproaching a swollen eyelid, the most important distinction for you to determine, is whether the infection tracks back behind the orbital septum. An orbital cellutis is a dangerous process, which can cause blindness or even death if the infection tracks back to the CSF fluid. Signs of post-septal (orbital cellulitis) are obvious, and include:

  • Proptosis (from swelling)
  • Chemosis (from swelling)
  • Decreased eye movement (from muscle involvement)
  • Decreased vision (from optic nerve involvement)


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[…] Questions: What findings on exam are consistant with orbital … Answer: When aproaching a swollen eyelid, the most important distinction for you to determine, is whether the infection tracks back behind the orbital septum. An orbital cellutis is a dangerous process, which can cause blindness or even … […]

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