Periorbital Cellulitis, Pediatric

ExitCare ImagePeriorbital cellulitis is an infection of the eyelid and tissue around the eye. The infection may also affect the structures that produce and drain tears.

CAUSES

  • Bacterial infection.

  • Viral infection.

SYMPTOMS

  • Pain or itching around the eye.

  • Redness and puffiness of the eyelids.

DIAGNOSIS

  • Your caregiver can tell you if your child has periorbital cellulitis during an eye exam.

  • It is important for your caregiver to know if the infection might be affecting the eyeball or other deeper structures because that might indicate a more serious problem. If a more serious problem is suspected, your caregiver may order blood tests or imaging tests (such as X-rays or CT scans).

HOME CARE INSTRUCTIONS

  • Take antibiotics as directed. Finish all the antibiotics, even if your child starts to feel better.

  • Take all other medicine as directed by your caregiver.

  • It is important for your child to drink enough water and fluids so that his or her urine is clear or pale yellow.

  • Mild or moderate fevers generally have no long-term effects and often do not require treatment.

  • Please follow up as recommended. It is very important to keep your appointments. Your caregiver will need to make sure the infection is getting better. It is important to check that a more serious infection is not developing.

SEEK IMMEDIATE MEDICAL CARE IF:

  • The eyelids become more painful, red, warm, or swollen.

  • Your child who is younger than 3 months develops a fever.

  • Your child who is older than 3 months has a fever or persistent symptoms for more than 72 hours.

  • Your child who is older than 3 months has a fever and symptoms suddenly get worse.

  • Your child has trouble with his or her eyesight, such as double vision or blurry vision.

  • The eye itself looks like it is "popping out" (proptosis).

  • Your child develops a severe headache, neck pain, or neck stiffness.

  • Your child is vomiting.

  • Your child is unable to keep medicines down.

  • You have any other concerns.