Orbital meningocele presenting as periorbital cellulitis

A case of orbital meningocele in a 15-day-old infant presenting as periorbital cellulitis, followed by meningitis, is described. Unlike other cases with the same anomaly, signs were not noted in the involved eye, neither before the cellulitis nor after recovery following antibiotic treatment. Preoperative, diagnosis was confirmed by tomography of the orbit. On operation a bony defect was found in the orbital roof, which was repaired. Recovery was uneventful.