EYE-REVISE

• 2 important orbital causes of a red eye to remember: 

  1. orbital inflammatory disease​

  2. orbital cellulitis

​

The main one to be aware of is orbital cellulitis, which is covered here.

​

Orbital cellulitis

• life threatening condition​

• presenting features:

  • red, oedematous conjunctiva​

  • reduced eye movements

  • proptosis

  • reduced visual acuity

  • systemically unwell - may be septic, febrile, haemodynamically unstable

  • may have sinusitis 

    • can originate as infection within the sinuses and spread to orbit​

​​

Management​

• admission​

• IV antibiotics

• CT scan of head/ orbits/ sinuses

• ENT + ophthalmology input