Fevers/chills
Nausea/vomiting
Headache
Eye exam
infraorbital/periorbital cellulitis
Exophthalmos (uni or bilateral)
Decreased vision
Absent pupillary reflexes
Decreased EOM secondary to CN III, IV, VI
CN VI typically affected 1st causing lateral gaze palsy
CN VI palsy and Horner Syndrome known as Parkinson sign
Decreased corneal sensation secondary to CN V
If infection spreads into CNS: altered mental status, lethargy, meningeal signs
infraorbital/periorbital cellulitis
Exophthalmos (uni or bilateral)
Decreased vision
Absent pupillary reflexes
Decreased EOM secondary to CN III, IV, VI
CN VI typically affected 1st causing lateral gaze palsy
CN VI palsy and Horner Syndrome known as Parkinson sign
Decreased corneal sensation secondary to CN V
CN VI typically affected 1st causing lateral gaze palsy
CN VI palsy and Horner Syndrome known as Parkinson sign
Cavernous sinus thrombosis
Aneurysmal dilation/rupture of internal carotid artery in cavernous sinus
Labyrinthitis
Cellulitis
Vitreous hemorrhage
Periorbital vs Orbital Cellulitis
Orbital cellulitis
Acute Angle-Closure Glaucoma