Orbital cellulitis with a abscess behind the eye ! will this always need surgery as well as iv antibiotics ? what is the correct path of treatment .

Needs immediate atte: This condition needs to be take care immediately, depending on abscess, size, cause, other associated factor you need mostly both approach together , needs hospitalization . This is very serious condition.

Orbital cellulitis: This is an emergency. In younger preteens this can lead to brain abcess or worse because the bones are less dense and less of barrier to potential spread. In older patients IV antibiotics are first line with proper evaluation. Surgery is indicated if there is or are potential problems if the area is not decompressed. The orbit can be tight.

Sub periosteal absce: If there is an abscess in the orbit it needs to be drained with Iv antibiotics. We worry that the swelling in the orbit compromises the optic nerve either by direct compression or orbital congestion. Usually both Iv antibiotics and abscess drainage are needed