Murphy DC, Meghji S, Alfiky M, et al. - Researchers conducted this retrospective, observational case‐series review to identify the predictors of poor outcome and the need for surgical management in paediatric patients with periorbital cellulitis, as well as to evaluate the adherence to local guidelines in the management of periorbital cellulitis. They analyzed clinical, laboratory and radiological features of 175 paediatric periorbital cellulitis presentations at a UK teaching hospital over a 10‐year period. In total, 175 paediatric presentations were diagnosed as periorbital infections over the 10‐year period. Ophthalmoplegia, proptosis and pain on eye movement were the best predictors of post‐septal disease in the multivariate analysis. The single most significant predictor of surgical management was proptosis. Multidisciplinary participation and early medical treatment may boost outcomes for most patients. To prevent significant life-threatening or sight-threatening complications, any who deteriorate amid medical management should be considered for prompt imaging and surgical management.