Chandler classification of orbital infections

Changed by Travis Fahrenhorst-Jones, 17 Nov 2021

Updates to Article Attributes

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Chandler classification is the most commonly used system for dividing the different types of orbital cellulitis. The system describes five stages 1,2:

  • stage I: preseptal orbital cellulitis with inflammation and edema anterior to the orbital septum.
  • stage II: orbital cellulitis with extension of the inflammation and edema beyond the orbital septum. 
  • stage III: subperiosteal abscess beneath the periosteum of lamina papyracea.
  • stage IV: orbital abscess and purulent collection within orbit. 
  • stage V: cavernous sinus thrombosis after posterior extension of the infection through the superior ophthalmic veins.
  • -<strong>stage III</strong>: <a title="Subperiosteal abscess of the orbit" href="/articles/subperiosteal-abscess-of-the-orbit">subperiosteal abscess</a> beneath the periosteum of lamina papyracea.</li>
  • +<strong>stage III</strong>: <a href="/articles/subperiosteal-abscess-of-the-orbit">subperiosteal abscess</a> beneath the periosteum of lamina papyracea.</li>
  • -<strong>stage V</strong>: <a title="Cavernous sinus thrombosis" href="/articles/cavernous-sinus-thrombosis">cavernous sinus thrombosis</a> after posterior extension of the infection through the superior ophthalmic veins.</li>
  • +<strong>stage V</strong>: <a href="/articles/cavernous-sinus-thrombosis">cavernous sinus thrombosis</a> after posterior extension of the infection through the superior ophthalmic veins.</li>
Images Changes:

Image 1 Diagram ( create )

Image 2 CT (non-contrast) ( update )

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StageCase 1: stage I: - preseptal periorbital cellulitis
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Image 3 CT (C+ arterial phase) ( create )

Image 4 CT (C+ arterial phase) ( update )

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StageCase 3: stage III : sub-periosteal - subperiosteal abscess
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