Chandler classification of orbital infections

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

  • 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.