Orbital cellulitis is a sudden (acute) infection of the tissues around the eye. It affects the eyelids, eyebrow, and cheek.
Orbital cellulitis is a dangerous infection, which can cause lasting problems.
The most common cause of this condition in children is a sinus infection (often Haemophilus influenzae. The infection used to be more common in young children, under the age of 7. It is now rare due to the HiB (Haemophilus influenzae B) vaccine.
The bacteria Staphylococcus aureus, Streptococcus pneumoniae, and beta-hemolytic streptococci may also cause orbital cellulitis.
Orbital cellulitis infections in children may get worse very quickly and can lead to blindness. Medical care is needed right away.
Symptoms may include:
Painful swelling of upper and lower eyelid, and possibly the eyebrow and cheek
Orbital cellulitis is a medical emergency that needs to be treated right away. Call your health care provider if there are signs of eyelid swelling, especially with a fever.
Getting scheduled HiB vaccine shots will prevent the infection in most children. Young children who share a household with a person who has this infection may need to take antibiotics to avoid getting sick.
Prompt treatment of a sinus or dental infection may prevent it from spreading to the eyes.
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Olitsky SE, Hug D, Plummer LS, Stass-Isern M. Orbital infections. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 626.
Wald ER. Periorbital and orbital infections. In: Long SS, ed. Principles and Practice of Pediatric Infectious Diseases. 4th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 87.
Yen MT, Lee S. Microbial Preseptal and Orbital Cellulitis. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:vol 4, chap 25.
Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.