In this case, CT scan revealed a concurrent (or resultant) orbital cellulitis. IV antibiotics were immediately started. While the orbital cellulitis without any abscess can often be treated with IV antibiotics in children, the dacryocystitis component will almost always require surgical management. This patient was taken to the O.R. for an I&D of the lacrimal abscess with excellent resolution post-operatively.
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
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