PEDIATRICS Vol. 62 No. 6 December 1978, pp. 1000-1005
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Differentiation of Orbital Cellulitis From Preseptal Cellulitis by Computed Tomography

Frederick Goldberg M.D.1, Alfred S. Berne M.D.1, and Frank A. Oski M.D.1

1 Departments of Pediatrics and Radiology, State University of New York, Upstate Medical Center, and the Crouse-Irving Memorial Hospital, Syracuse, New York

Computed tomography (CT) was used in the management of four patients with periorbital inflammation. These patients were selected for CT scanning because of the difficulty, on clinical examination alone, in determining the degree of orbital disease. The CT scans confirmed the presence and defined the location of an orbital abscess in three patients and eliminated the presence of an abscess in the fourth. On the basis of this experience, CT scanning is recommended in the evaluation of children with periorbital inflammation in whom proptosis, ophthalmoplegia, or loss of visual acuity develops, or in whom severe eyelid edema prevents adequate eye examination.

Submitted on January 9, 1978
Accepted on March 30, 1978




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