Orbital cellulitis differential diagnosis: Difference between revisions
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===Infectious diseases=== | ===Infectious diseases=== | ||
Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], [[fever]], and | Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], [[fever]], and [[edema]], such as: | ||
*[[Periorbital cellulitis]] | *[[Periorbital cellulitis]] | ||
*[[Endophthalmitis]] | *[[Endophthalmitis]] | ||
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===Vascular=== | ===Vascular=== | ||
Orbital cellulitis must be differentiated from other diseases that may cause [[proptosis]], | Orbital cellulitis must be differentiated from other diseases that may cause [[proptosis]], [[edema]], and [[visual disturbance]], such as: | ||
*[[Cavernous sinus thrombosis]] | *[[Cavernous sinus thrombosis]] | ||
*Atriovenous fistula | *Atriovenous fistula | ||
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===Structural/Trauma=== | ===Structural/Trauma=== | ||
Orbital cellulitis must be differentiated from other diseases that may cause | Orbital cellulitis must be differentiated from other diseases that may cause [[edema]], [[visual disturbance]], and [[proptosis]], such as: | ||
*Retrobulbar [[hematoma]] | *Retrobulbar [[hematoma]] | ||
*[[Mucocele]] | *[[Mucocele]] | ||
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===Neoplastic=== | ===Neoplastic=== | ||
Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], | Orbital cellulitis must be differentiated from other diseases that may cause [[erythema]], [[edema]], [[fever]], [[visual disturbance]], and [[proptosis]], such as: | ||
*[[Metastatic carcinoma]] | *[[Metastatic carcinoma]] | ||
*[[Neurofibroma]] | *[[Neurofibroma]] | ||
Revision as of 14:42, 22 July 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Orbital cellulitis must be differentiated from various conditions which affect the eye and present with similar symptoms, and include periorbital cellulitis, cavernous sinus thrombosis, and neoplasia.
Differential Diagnosis
Orbital cellulitis may share common features or present similarly to other eye diseases with significantly varying management protocols. As such, the clinician must carefully consider the patient's history, the presenting signs and symptoms, and consider the following differentials:[1][2]
Infectious diseases
Orbital cellulitis must be differentiated from other diseases that may cause erythema, fever, and edema, such as:
- Periorbital cellulitis
- Endophthalmitis
- Severe conjunctivitis
- Herpes Zoster Ophthalmicus
- Posterior Scleritis
- Mucormycosis, Aspergilliosis of the globe
- M.tuberculosis of the globe
Vascular
Orbital cellulitis must be differentiated from other diseases that may cause proptosis, edema, and visual disturbance, such as:
- Cavernous sinus thrombosis
- Atriovenous fistula
- Orbital varices
Autoimmune/Inflammatory
Orbital cellulitis must be differentiated from other diseases that may cause inflammation, proptosis, and visual disturbance, such as:
- Exophthalmos
- Wegener's granulomatosis
- Sarcoidosis granuloma
- Orbital pseudotumor
Structural/Trauma
Orbital cellulitis must be differentiated from other diseases that may cause edema, visual disturbance, and proptosis, such as:
- Retrobulbar hematoma
- Mucocele
- Dermoid cyst
Toxicity
Orbital cellulitis must be differentiated from other diseases that may cause proptosis such as:
- Bisphosphonate use
Neoplastic
Orbital cellulitis must be differentiated from other diseases that may cause erythema, edema, fever, visual disturbance, and proptosis, such as:
- Metastatic carcinoma
- Neurofibroma
- Schwannoma
- Glioma
- Retinoblastoma
- Rhabdomyosarcoma
- Neuroblastoma
- Lymphoma
- Leukemia
- Histiocytosis
References
- ↑ American Academy of Ophthalmology EyeWiki (2015)http://eyewiki.aao.org/Orbital_Cellulitis#Differential_Diagnosis-
- ↑ Lam Choi VB, Yuen HK, Biswas J, Yanoff M (2011). "Update in pathological diagnosis of orbital infections and inflammations". Middle East Afr J Ophthalmol. 18 (4): 268–76. doi:10.4103/0974-9233.90127. PMC 3249811. PMID 22224014.