A 76-year-old man who was a nursing home resident was seen because of redness below the right eye. A close-up view shows periocular swelling and erythema confined to the inferior area, sparing the upper lid. The conjunctiva is free of vascular dilation or erythema and of chemosis. No proptosis is present. Localized redness about the right orbit, centered on the lower lid, permits a diagnosis of preseptal cellulitis.