Orbital cellulitis

Typically, due to the spread of infection from the paranasal sinuses.

Clinical features

Usually presents with pain

Double/blurred vision

General malaise.

Fever

Eyelid swelling

Proptosis

Inability to move the eye

Complications

Septicaemia

Meningitis

Cavernous sinus thromboses.

Management

Refer immediately to ophthalmology for IV antibiotics/surgical drainage.

3^rd generation cephalosporin

Cefotaxime 50 mg/kg (max 2 g) IV 6 hourly OR

Ceftriaxone 50 mg/kg (max 2 g) IV daily

PLUS

Flucloxacillin 50 mg/kg (max 2g) IV 6 hourly OR If suspected MRSA then vancomycin