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Abstract
Orbital cellulitis and preseptal cellulitis are ophthalmological emergencies, relatively frequent and potentially serious. The distinction between both is extremely important because they have different therapies essential for a good evolution and prognosis. The anatomical relationship of the orbit with neighboring structures is key to understanding part of the etiopathogenesis of these, appearing in most cases as complications of sinusitis. The diagnosis between both can be difficult and the complications of poor diagnosis and inadequate treatment can be potentially life-threatening. Clinically both can share erythema, palpebral edema and heat, but orbital cellulitis has more specific signs and symptoms such as pupil involvement, restriction of eye movements, proptosis and loss of visual acuity. The initial treatment is usually medical in cases of preseptal cellulitis, directed to the most frequent microorganisms, and in the case of orbital cellulitis treatment usually requires hospitalization and use of intravenous broad spectrum antibiotics.
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References
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