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June 1941


Arch Ophthalmol. 1941;25(6):1033-1035. doi:10.1001/archopht.1941.00870120115010

Orbital cellulitis and Ludwig's angina are two conditions concerning which there is little unanimity of opinion. This is true of the first condition because most authorities do not divide it into its clinical components, and it is true of the second condition because of loose terminology. The term orbital cellulitis includes all inflammatory conditions of the orbit, from edema to phlegmon. I believe that ophthalmologists would have a better working knowledge of inflammations of the orbit if they divided all orbital cellulitic conditions as Ehlers1 does, into ( 1 ) collateral orbital edema, which means an edematous condition of the contents of the orbit due to an inflammatory focus outside the orbit which has not yet advanced into the orbit; (2) subperiosteal abscess and preseptal orbital abscess and (3) phlegmon of the orbit. This classification of inflammatory conditions of the orbit also helps to determine the

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