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All Journal Medical Journal of Indonesia Media Karya Kesehatan Journal of Community Empowerment for Health ASEAN Journal of Community Engagement JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Ophthalmologica Indonesiana
Made Susiyanti
Department Of Ophthalmology, Faculty Of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital
Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Preseptal Cellulitis: A Multidisciplinary Perspective on Diagnosis and Treatment Carennia Paramita; Erica Widodo; Made Susiyanti
Majalah Oftalmologi Indonesia Vol 52 No 2 (2026): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/oi.v52i2.102112

Abstract

Introduction: Preseptal cellulitis is a common pediatric infection involving the eyelid and anterior orbital tissues, characterized by eyelid erythema and edema. Although most cases respond well to oral antibiotics, delayed diagnosis or inadequate treatment may lead to complications requiring more intensive management. Case Presentation: A febrile 7 year-old boy presented with progressive swelling, erythema, and purulent discharge of the right upper eyelid for two weeks despite prior oral antibiotic therapy. Examination revealed marked palpebral edema, tenderness, and a superior eyelid mass without proptosis or limitation of ocular motility. Laboratory findings showed elevated C-reactive protein levels. Orbital CT imaging confirmed preseptal cellulitis without orbital involvement. The patient was hospitalized and treated with intravenous ampicillin-sulbactam. Discussion: Preseptal cellulitis most commonly affects children under 10 years old. While mild cases can be managed with oral antibiotics, severe or unresponsive cases require intravenous therapy. The absence of proptosis and preserved ocular motility were key features distinguishing this condition from orbital cellulitis. Conclusion: Prompt recognition and timely intravenous antibiotic therapy are crucial in severe preseptal cellulitis to ensure clinical improvement and prevent progression to orbital complications.
Co-Authors ., Dadun Adriono, Gitalisa Andayani Alwin, Wanarani Astari Dwiranti Astriviani Widyakusuma Aziza, Yulia Bani, Anna Puspitasari Carennia Paramita Daniel, Hisar Devona, Dinda A. dr. Muthia Despi Utami Erica Widodo Ethelind, Rachel Eva Suarthana Febrina Rahmayanti Fitriana, Anis Harini, Melinda Hindun Zakiyah Hisar Daniel Ida Ruwaida, Ida Ikhwanuliman Putera Irawati, Yunia Julie Dewi Barliana Kania, Theresia Luh Karunia Wahyuni, Luh Karunia Lukman Edwar Luzanil, Sonny Tirta Mahayani, Ni Made Widya Matsurah, Qaishum Melva Louisa Menaldi, Adhityawarman Menaldi, Sri Linuwih Susetyo Wardhani Muhammad Asroruddin, Muhammad Novita Eka Sukma Putri Priscilia, Florentina Puspitasari, Sitha Anisa RANDY VINCENT SUHARTONO KINDANGEN Ratna Sitompul Riasanti, Mei Rico Kurniawan Rina L.D. Nora Rina La Distia Nora Sahid, Muhammad Hidayat Sifyana, Ulifna Alfiya Soedarman Sjamsoe Susanto, Eka Tri Rahayu Utami, Anna Nur Waliyuddin, M Zakiy Wibawa, Maria Valentina Wicaksono, Gunawan Wicitra, Anindita Widodo, Erica Widyawati, Syska Yeni Dwi Lestari Yulia Aziza