Periorbital or Preseptal Cellulitis

Clinical features

• Cellulitis involving the orbit
• Swelling around the eye
• Impaired eye opening, eye movement or visual acuity

Anaerobic infection is a particular risk in diabetes, immunocompromise, or penetrating injury 

Investigations

• Blood culture
• Swab of discharge from superficial lesions for culture

Infection Control

Basic universal precautions

Treatment

Discuss patient with Ophthalmology

 

CO-AMOXICLAV IV 1.2g 8 hourly

For true penicillin allergy:

Discuss with Microbiology

IV to Oral switch

CO-AMOXICLAV PO 625mg 8 hourly