The child may show signs of upper respiratory tract infection accompanied by eyelid redness and swelling, definitely fever, and obvious signs of eyelid skin infection, such as mosquito bites, septic rash, or dengue. Insect bites may not be infected but accompanied by erythema of the eyelid that may remain asymptomatic early on, but within 48 hours may exhibit erythema surrounding the orbit and appear painful along with fever. Anterior septal cellulitis is distinguished from orbital cellulitis by the fact that in the former the redness is more limited before the orbit, vision and eye movements are normal, and occasionally the eyelids are tightly closed and cannot be opened. The ophthalmologist will need to examine the eye with an eyelid puller and a CT exam to rule out other orbital disease. The figure shows anterior cellulitis of the orbital septum in the left eye, diffusing to the cheek as well as having eyelids. The delineation shows the extent of involvement by the edema. The CT scan suggests that the inflammation is confined to the anterior part of the anterior septal space. Features of orbital cellulitis include bulbar conjunctival edema, diplopia, ocular motility disorders, and protrusion of the eye in addition to the features of orbital anterior septal cellulitis. Children with orbital cellulitis present with a province-wide condition that is not good, with neurological symptoms such as lethargy and seizures that are indicative of intracranial infection. A child with orbital cellulitis is in poor condition throughout the province and shows drowsiness. They show edema of the conjunctiva and ocular motility disorders.