Abstract
Orbital infection is an ophthalmological emergency as it can lead to blindness and intracranial spread. Imaging is needed to determine the extent of the infection, to detect complications and predisposing factors as well as for surgical planning. We report a case of a 7 year old boy who presented with a short duration history of nasal discharge, headache, fever with swelling and redness over the left eye. On local examination, the child had edema and erythema over the left eyelids, proptosis and painful restricted movements of the left eye. Imaging revealed extensive pansinusitis, marked axial proptosis of the left globe, marked stranding of the preseptal and orbital fat and a peripherally enhancing subperiosteal collection with central restriction in the extraconal space along the left orbital roof (Stage III Chandler classification of orbital infections).
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