Periorbital cellulitis is a bacterial infection that usually affects kids younger than five. It’s treated with antibiotics. Talk to your healthcare provider as soon as you notice any symptoms around your child’s eye. Periorbital cellulitis itself isn’t serious, but getting it treated right away can prevent more serious infections.
Periorbital cellulitis is a bacterial infection of your eyelid or the skin around your eyes. It affects kids more commonly than adults. You might see it referred to as preseptal cellulitis. It’s similar to cellulitis that can affect other parts of your body.
It’s very rare for periorbital cellulitis to cause severe or long-term symptoms. Most people recover in about a week after starting antibiotic treatments.
Orbital cellulitis is more rare and dangerous than periorbital cellulitis. They’re both caused by a bacterial infection around the eye. The difference between them is which part of the eye is affected.
Orbital cellulitis is a bacterial infection of the fat and muscle. Because it affects deeper tissues in the eyes, it is more dangerous and can cause permanent vision issues. Periorbital cellulitis is much more common and far less dangerous.
Periorbital cellulitis and pink eye (conjunctivitis) are both infections that can affect both adults and children.
Periorbital cellulitis is a bacterial infection of the skin around your eye including your eyelid. It causes inflammation and discoloration outside and around the eye. It is not contagious.
Pink eye is inflammation of the conjunctiva, the clear tissue that lines the inside surface of your eyelid and the outer coating of your eye. It can be caused by anything from viruses to blocked tear ducts. Pink eye caused by bacteria or a virus can be very contagious.
Periorbital cellulitis is caused by bacteria getting under the skin. Styes form when a tiny oil gland near the eyelashes becomes blocked and gets infected.
A stye is painful and is usually a single bump that you can see or feel. Periorbital cellulitis is swelling that’s not concentrated in a single spot. It usually affects the whole eyelid or a large area around it.
No matter which condition you or your child have, see your provider right away if you notice swelling or discoloration in or around the eyes.
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Periorbital cellulitis can affect anyone, but it’s most common in kids younger than age 5.
Adults can get periorbital cellulitis, it’s just not as common. Periorbital cellulitis in adults is caused in the same way and is treated exactly the same as it is in children.
Periorbital cellulitis is common, especially in children.
Periorbital cellulitis causes symptoms like swelling and discoloration around your child’s eye. It doesn’t affect their vision. It also isn’t painful.
Periorbital cellulitis symptoms include:
Periorbital cellulitis doesn’t cause:
If your or your child’s eye hurts, itches or vision is blurry, there may be a different problem going on, including orbital cellulitis.
Your healthcare provider will diagnose what’s causing the symptoms. If you notice new symptoms see your provider right away.
Periorbital cellulitis is caused by a bacterial infection. Lots of common bacteria cause periorbital cellulitis. The most common ways bacteria get into kids’ skin include:
Periorbital cellulitis isn’t contagious. This means it’s not possible to pass it from person to person.
Even if your child has it in one of their eyes, periorbital cellulitis can’t spread from one eye to the other.
Your healthcare provider will diagnose periorbital cellulitis with a physical exam. They will examine your or your child’s eye and the area around it.
Make sure to tell your provider if you or your child have experienced any of the following:
There is no test to confirm periorbital cellulitis. However, your provider might order blood tests to rule out other infections or conditions.
Periorbital cellulitis is treated with antibiotics. Antibiotics can be given in a few ways, depending on how severe the symptoms are, including:
Most children will need to take antibiotics for around a week.
Antibiotics side effects include:
The best way to help you or your child feel better is to make sure they take the full course of antibiotics. You or your child need to take the medicine for as long as your healthcare provider prescribes it. This will make sure the antibiotics can successfully kill all the bacteria causing the problem.
Your child might be tired from fighting the infection. Rest will help them recover and regain their strength.
People should start to feel better one or two days after starting antibiotics.
However, antibiotics need time to kill all the bacteria that are causing the illness. Even if you or your child feel better, they need to take antibiotics for as long as your provider instructs. There’s a chance they’ll re-develop cellulitis or other infections if they don’t take antibiotics for as long as your provider prescribes.
You can prevent periorbital cellulitis by keeping your child’s skin healthy. This includes:
You should expect your child to make a full recovery. Kids and adults with periorbital cellulitis almost always recover soon after starting antibiotics and rarely have complications.
Periorbital cellulitis usually lasts around a week after starting antibiotics.
Your child shouldn’t need to miss school while they’re recovering from periorbital cellulitis. They aren’t contagious and can’t spread the bacteria that cause cellulitis.
Talk to your provider about which activities — if any — you or your child should avoid while taking antibiotics.
The outlook for periorbital cellulitis is extremely positive. The swelling and discoloration around the eye can be scary, but it’s treatable and should start to improve right away after starting antibiotics.
Talk to your healthcare provider as soon as you notice any symptoms or changes in or around the eyes. Periorbital cellulitis itself isn’t very dangerous, but if it’s not treated right away it can lead to more serious conditions like orbital cellulitis.
See your provider right away if symptoms don’t improve in a day or two after they start antibiotics.
Go to the emergency room if your child experiences any of the following:
A note from Cleveland Clinic
Anything that affects your or your child’s eyes is scary, but periorbital cellulitis is very common and will go away quickly after starting antibiotics. Make sure to talk to your healthcare provider as soon as you notice any symptoms. The sooner it is diagnosed, the faster you or your child will feel better.
Last reviewed by a Cleveland Clinic medical professional on 07/24/2022.
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