A member asked:

What is the best antibiotic for preseptal cellulitis caused by a sinus infection? my eye lid is slightly swollen. was given clarithromycin 500mg 2x/ day. is that the best course of treatment? augmentin doesn't work for me. what else should i do?

2 doctors weighed in across 2 answers

Sinusitis: These antibiotics are effective but if not improving should see your doctor

Answered 3/6/2017

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Dr. Cornelius Oleary answered

Specializes in Urgent Care

Ophthalmology : I would do lid hygiene four times a day with baby shampoo and cotton balls, use moxiflxacin drops twice a day for a week, and doxycycline 100 twice a day by mouth. I would use hot compress to help drain the collection and keep the head elevated. You should see an ophthalmologist to ensure your vision is safe. In severe cases IV antibiotics and surgical drainage are indicated.

Answered 3/6/2017

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