Occult Adenocarcinoma Presenting as Presumed Periorbital Cellulitis

Background: Orbital tumors are uncommon entities seen by optometrists. They may initially present as common, benign conditions, but if not appropriately diagnosed can lead to devastating results. Case Report: This case report demonstrates an atypical presentation of adenocarcinoma that was preseptal cellulitis. The patient in this ultimately referred for imaging and biopsy reveal the correct diagnosis. Despite treatment, died about 1 year after his clinical presentation. Conclusion: detection orbital subsequent management patients with be challenging. When considering a possible diagnosis, careful examination is necessary identify key characteristics assist ordering appropriate studies. Identifying these critical findings will allow eye care provider make timely referral continued patient.