PMC6607445_01
Bilateral eyelid edema on day 2 with spontaneous rupture of the right upper eyelid
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F1
A one-year-old boy presented to the emergency department with a sudden onset of fulminant edema of the right eyelid, making it impossible to open his right eye (Figure 1 (Fig. 1)). The antibiotic therapy was changed to clindamycin after 2 days due to poor clinical response with also increasing swelling of his left eyelid (Figure 1 (Fig. 1)). On the second day of admission, the right upper eyelid ruptured spontaneously (Figure 1 (Fig. 1)).
Computed tomography (axial scan) of the orbit showing extensive swelling of the right periorbital soft tissues and minimal swelling on the left side, without intraorbital involvement
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F2
CT of the orbit revealed pronounced superficial soft tissue inflammation of the right periorbit without evidence of an intraorbital inflammation or abscess formation, cavernous sinus thrombosis or intracranial extension of the inflammation (Figure 2 (Fig. 2)). 
Persistent hardening of the eyelid after resolution of the edema with incomplete opening of the right eye after one month, obscuring the visual axis
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F3
Because of this, the boy was unable to fully open his eye in the first 4 months, obscuring the child's visual axis and putting him at great risk for developing occlusion amblyopia (Figure 3 (Fig. 3)).