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Orbital cellulitis is infection of the orbital soft tissues posterior to the orbital septum, usually spreading from sinusitis. It is an emergency presenting with painful proptosis, ophthalmoplegia, decreased vision, eyelid swelling, and fever. Complications: cavernous-sinus thrombosis, abscess, vision loss. Treatment: urgent IV broad-spectrum antibiotics, imaging (CT), and surgical drainage if subperiosteal/orbital abscess; manage sinus source.
Painful proptosis; ophthalmoplegia; decreased vision; eyelid swelling; fever; sinusitis history
Sinusitis spreads through thin bony walls into the orbit, causing soft-tissue infection.
Urgent IV antibiotics; CT imaging; surgical drainage of abscess; treat sinus source
Treat sinusitis promptly; urgent treatment.
It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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