Seeing beyond the swelling: orbital and preseptal cellulitis in children

Preseptal and orbital cellulitis are common paediatric presentations. Despite their incidence, there is no clear evidence-based guidance available to clinicians in the United Kingdom (UK). Orbital cellulitis can cause significant intracranial complications leading to vision loss and even death. An understanding of the clinical presentation, diagnosis, management, and potential complications of paediatric cellulitis is necessary for any health professional involved in the acute care of children. This article aims to develop your knowledge to facilitate your prompt diagnosis of preseptal and orbital cellulitis and to explore management options currently in practice.