Clinical practice guidelines for the management of orbital cellulitis

J Pediatr Ophthalmol Strabismus. Mar-Apr 1998;35(2):73-9; quiz 110-1.


Purpose: A retrospective study was performed to review the management of periorbital and orbital cellulitis at Miami Children's Hospital, between January 1, 1993 and February 15, 1996.

Results: One hundred and one patients were included in this study. The variables analyzed in this study included age, sex, length of hospital stay, imaging studies, laboratory tests, and microbiology specimens collected. Patients were classified according to the modified Chandler classification. Average length of stay for our patient population was 4.5 days. Data regarding the radiologic studies, laboratory tests, and microbiology yield of specimens were analyzed.

Conclusions: The incidence of orbital infection, manifested by lid swelling alone is much more common (stages I and II) than orbital infection involving postseptal findings (stages III, IV, and V); 84.16% compared with 15.84%, respectively. An updated approach and a general guideline for the management of periorbital and orbital cellulitis according to the clinical staging of the process is presented.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cellulitis / diagnostic imaging
  • Cellulitis / pathology
  • Cellulitis / therapy*
  • Child, Preschool
  • Edema / complications
  • Edema / diagnostic imaging
  • Eyelid Diseases / complications
  • Eyelid Diseases / diagnostic imaging
  • Hospitalization
  • Humans
  • Length of Stay
  • Orbital Diseases / diagnostic imaging
  • Orbital Diseases / pathology
  • Orbital Diseases / therapy*
  • Practice Guidelines as Topic
  • Respiratory Tract Infections / complications
  • Respiratory Tract Infections / drug therapy
  • Retrospective Studies
  • Sinusitis / complications
  • Sinusitis / diagnostic imaging
  • Tomography, X-Ray Computed


  • Anti-Bacterial Agents