Department of Internal Medicine, Northshore University HealthSystem, Evanston, IL, United States.
Department of Ophthalmology and Visual Science, University of Chicago, Chicago, IL, United States; Department of Surgery, Northshore University HealthSystem, 2050 Pfingsten Rd., Ste. 280, Glenview, IL 60026, United States.
Dis Mon. 2020 Oct;66(10):101044. doi: 10.1016/j.disamonth.2020.101044. Epub 2020 Jul 1.
Preseptal cellulitis and postseptal (orbital) cellulitis represent a spectrum of orbital infections which a primary care provider and ophthalmologist may see during practice. Most often these conditions occur through spread from the sinuses, though there are a variety of other inciting factors. These conditions can both present with erythema and edema, but a complete and thorough exam can help a practitioner differentiate the two. Patients should be treated with targeting the most common pathogens and followed very closely by their providers. This article will discuss the anatomy, pathogenesis, risk factors, diagnosis, management and prognosis of preseptal and orbital cellulitis.
前眶蜂窝织炎和后眶（眼眶）蜂窝织炎代表了一类眶内感染，初级保健医生和眼科医生在日常工作中可能会遇到。这些情况大多通过鼻窦扩散而来，但也有许多其他诱发因素。这两种情况都可能出现红斑和水肿，但全面彻底的检查有助于医生进行鉴别。应针对最常见的病原体进行治疗，并由医生密切随访患者。本文将讨论前眶蜂窝织炎和眼眶蜂窝织炎的解剖、发病机制、危险因素、诊断、治疗和预后。
