Preseptal Cellulitis: 13 Years Review in a Tertiary Hospital South-Eastern Nigeria

Main Article Content

Akunne I. Apakama
Chukwudi C. Uzozie
Chinasa A. Nnubia


Objectives: To determine the epidemiology and management outcome of preseptal cellulitis seen at a tertiary eye hospital within a period of 13 years.

Materials and Methods: The case files of all patients seen with preseptal cellulitis from 2005 to 2017 were reviewed. The information obtained included the patients’ demography, presenting symptoms and signs, research, treatment, outcome, complications and follow-up.

Results: Of the 123 patients with preseptal cellulitis reported on the study, 66 were males and 57 females. In a range of 0 to 80 years old, the mean age was 19 years. The commonest predisposing factor was trauma (20.3%) followed by upper respiratory tract infection (11.4%).  Progression to orbital cellulitis was seen in 11.4% of the patients.

Conclusion: Preseptal cellulitis is not uncommon in adults as seen in previous studies. Trauma is now more common than sinusitis as a predisposing factor. Despite oral antibiotic therapy some cases may progress to orbital cellulitis.

Preseptal cellulitis, trauma, sinusitis, predisposing factor.

Article Details

How to Cite
Apakama, A. I., Uzozie, C. C., & Nnubia, C. A. (2020). Preseptal Cellulitis: 13 Years Review in a Tertiary Hospital South-Eastern Nigeria. Ophthalmology Research: An International Journal, 13(4), 10-17.
Review Article


Bae C, Bourget D. Periorbital Cellulitis. (Updated 2020 July 21). In: StatPearls (Internet). Treasure Island (FL). StatPearls Publishing; 2020.

Shirin H, Islam A, Daniel B, Goeffrey ER, David HV. Common Orbital Infections – State of the Art – Part 1 J Ophthalmic Vis Res. 2018;13(2):175-182.

Shoaei SD, Tehrani S, Arab – Mazar Z. Frequency of Preseptal Cellulitis and its Risk Factors in Patients Admitted to Two Educational Hospitals in Tehran, Iran, during 2014 – 2015. Int J Infect. 2017;4(2):42112.

Berksu C, Ayse S, Nazan D. Preseptal Cellulitis in Children: A Single-Centre Experience. Sisli Etfal Hastan Tip Bul. 2019;53(4):409-12.

Rao VA, Hans R, Mehra AK. Preseptal Cellulitis – varied Clinical Presentations. Indian J Ophthalmol 1996;44:225-7.

Carlisle RT, Fredrick GT. Prseptal and Orbital Cellulitis. Hospital Phys. 2006;42:15-9.

Liu IT, Kao SC, Wang AG, Tsai CC, Liang CK, Hsu WM. Preseptal and orbital cellulitis: A 10-year review of hospitalised patients. J Chin Med Assoc 2006;69:415-22

Fasina O, Ubah J. Pattern of Pre-hospital Consultation among Ophthalmic Patients Seen in a Tertiary Hospital in South West Nigeria. Afr J Med Sci. 2009;38:173-7.