What Is Cellulitis of the Eyelid?
Cellulitis of the eyelid, also known as periorbital or preseptal cellulitis,
is an infection of the tissues around the eye. The infection can be caused by
minor trauma to the area around the eye, such as an insect bite. It can also
occur as a result of another infection, such as sinusitis. Cellulitis of
the eyelid causes redness and painful swelling of the eyelid and the skin
surrounding the eyes. The condition occurs much more often in children than in
Cellulitis of the eyelid typically improves when it’s treated
early. The infection can usually be effectively treated with antibiotics and
close follow-up. However, cellulitis can become more problematic if it goes
untreated. For example, cellulitis of the eyelid may lead to a serious
condition if the infection spreads to the eye socket. An infection of the eye
socket, called orbital cellulitis, can cause permanent vision problems or total
blindness. It’s important to treat cellulitis of the eyelid right away to
What Are the Symptoms of Cellulitis of the
The symptoms of cellulitis of the eyelid may include:
- redness around the eyelid
- swelling of the eyelid
- swelling of the skin around the eye
This condition usually doesn’t cause vision problems or any pain
in the eye.
What Causes Cellulitis of the Eyelid?
Cellulitis of the eyelid is caused by a bacterial infection. The
infection might develop after a skin injury, such as a scratch or an insect
bite around the eye. These minor injuries allow bacteria to enter the wound and
cause an infection. The bacteria might also spread to the eye as a result of a
sinus infection or another upper respiratory infection. They can also lead to impetigo, which is a highly
contagious skin infection that causes minor blisters and crusting.
The most common bacterial causes of cellulitis of the eyelid are:
- Haemophilus influenzae
Children are much more
likely to become infected with these bacteria than adults. This is why cellulitis
of the eyelid most commonly affects
How Is Cellulitis of the Eyelid Diagnosed?
Your doctor can probably diagnose cellulitis of the eyelid by
simply performing a physical exam and asking you about your medical history. You
doctor will also ask you to describe your symptoms, look at the location of the
inflammation, and examine your eye for signs of infection. They’ll also ask you
if you’ve recently had a minor eye injury or another type of infection, such as
If you or your child are experiencing any eye pain or vision
problems, your doctor may order blood tests and take blood samples. An
infection in the eye can cause serious complications. Your doctor may also use
a CT or MRI scan to create clear, detailed images of the structure of the eye.
These images allow your doctor to see the source of inflammation and to make
sure the infection hasn’t spread into the eye itself.
What Are the Complications of Cellulitis of
In some cases, the infection may spread to the eye socket or the
eye itself. This can lead to a serious condition called orbital cellulitis. Orbital
cellulitis may cause eye pain, vision problems, and even blindness. People who
are diagnosed with orbital cellulitis will need to receive care in a hospital.
How Is Cellulitis of the Eyelid Treated?
Older children and adults can be treated with oral antibiotics,
It’s important to take the complete round of medication and to follow your doctor’s
instructions. Children under age 4 may need to go to a hospital to receive antibiotics
intravenously, which means through a vein (IV). IV antibiotics are usually
given through a vein in the arm. A warm compress can also be used at home to
help reduce inflammation.
You may need to see a doctor who specializes in eye diseases if
your case is severe or if orbital cellulitis develops. This type of doctor is
called an ophthalmologist. They will treat the condition with antibiotics,
which will be given through an IV. You’ll likely have to stay in the hospital
during treatment, as you’ll need to be closely monitored by medical personnel
to ensure the infection doesn’t get worse. Surgery may also be required to
relieve any pressure that builds up in or around the eye.
What Is the Outlook for People with
Cellulitis of the Eyelid?
The outlook for people with cellulitis of the eyelid is typically
very good if treatment is received promptly. The condition almost always
improves quickly with antibiotics.
Once you recover, you should throw away any makeup products or
contact lenses that you used before the infection. These products may be
contaminated with the bacteria that caused cellulitis of the eyelid.