Between Trauma and Infection: Diagnostic and Therapeutic Approach to Progressive Orbital Cellulitis

Orbital cellulitis is a rare but potentially serious condition with diverse etiologies, requiring prompt diagnosis and management to avoid severe complications such as blindness or meningitis. We report the case of a 75-year-old female patient admitted with a clinical presentation of left orbital cellulitis occurring two days after an ocular trauma. The unusual context of onset posed a diagnostic and therapeutic dilemma for the practitioner. We discuss our approach to this situation, as well as the importance of close clinical monitoring and appropriate management in case of failure of initial medical treatment.