.Department of Family Medicine

(Paediatrics)

NATIONAL HOSPITAL ABUJA.

May,2009

Dr Fagboungbe Bisoye. F

• Local spread (preceded with URI) • Acute eyelid Erythema and edema• Pain, Epiphora• ± fever, conjunctivitis•leukocytosis

In this Patient• Mild eyelid edema• No Hx of URI, hordeolum, bug bite, trauma• Discharge more prominent than swelling

Malinow I, Powell KR: Periorbital cellulitis. Pediatr Ann 1993 Apr; 22:241-6

,

• Onset 2-4 wk • Tenderness & swelling in medial canthal region• Epiphora most prominent • ± purulent D/C from puncta, cellulitis, conjunctivitis,

• Epiphora was not eminent• No tenderness & swelling in medial canthal region

In this patient

Lang, Gerhard K., Ophthalmology: a short textbook, 2000 Georg Thieme Verlag, Germany

Causes Clinical symptoms

Associated findings

Neonatal conjunctivitis

Maternal infection

Discharge, conjunctivitis

Maternal STD

Neonatal dacryocystitis

Obstruction of lacrimal system

Epiphora, tenderness at epicanthal region

Nasal diseases

Periorbital cellulitis

Local spread

Marked eyelid edema

URI

Provisionaldiagnosis

PROPHYLAXIS.PROPHYLAXIS.

Red Book: 2006 Report of the Committee on Infectious Diseases. 27th ed.