case_images: PMC10866719_01
case_images: (a) Left erythematous swollen eyelid upon presentation. (b) Presence of pseudomembranes and associated meibomitis. (c) Left injected conjunctiva with 360-degree chemosis and subconjunctival haemorrhage, accompanied with minimal yellowish purulent discharge.
case_images: MFP-19-5-g1.jpg
case_images: PMC10866719_01_MFP-19-5-g1.jpg
case_images: f1
case_images: Ophthalmic examination of the left eye revealed an erythematous swollen eyelid with minimal yellowish discharge (Figure 1a). Pseudomembranes and associated meibomitis were noted (Figure 1b).
case_images: Computed tomography scan of the brain and orbit showing left periorbital subcutaneous fat stranding and thickening [*] with thickened left orbital septum and superior and inferior tarsal muscles.
case_images: MFP-19-5-g2.jpg
case_images: PMC10866719_01_MFP-19-5-g2.jpg
case_images: f2
case_images: (a) Resolved left erythematous swollen eyelid with remaining minimal chemosis and slightly injected conjunctiva. (b) Fully recovered left orbital cellulitis with no chemosis or injection of the conjunctiva.
case_images: MFP-19-5-g3.jpg
case_images: PMC10866719_01_MFP-19-5-g3.jpg
case_images: f3
case_images: Upon completion of intravenous antibiotic therapy for 14 days, there was neither redness nor swelling of the eyelid with remaining minimal chemosis and slightly injected conjunctiva (Figure 3a). She was discharged home with guttae levofloxacin QID, and her orbital cellulitis fully resolved by the first week of follow-up (Figure 3b).
case_images: PMC10866719_02
case_images: (a) Left severely injected conjunctiva with 360-degree chemosis and yellowish purulent discharge. (b) Resolving left conjunctival injection and chemosis after 7 days of treatment. (c) Fully recovered cellulitis with no chemosis or injection of the conjunctiva.
case_images: MFP-19-5-g4.jpg
case_images: PMC10866719_02_MFP-19-5-g4.jpg
case_images: f4
case_images: His conjunctiva was severely injected and chemotic with the presence of pseudomembranes (Figure 4a). His eyelid swelling and redness along with chemosis resolved more rapidly than did those of case 1 (Figure 4b). He fully recovered after the 2-week course of treatment (Figure 4c).
case_images: Computed tomography scan of the brain and orbit showing left periorbital soft tissue swelling with no fat stranding [+] representing left periorbital cellulitis.
case_images: MFP-19-5-g5.jpg
case_images: PMC10866719_02_MFP-19-5-g5.jpg
case_images: f5
case_images: Consequently, CT of the brain and orbit was performed, which revealed left-enhancing periorbital soft tissue swelling representing periorbital cellulitis with no evidence of orbital collection or intracranial extension (Figure 5).