Periorbital edema: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{SI}} | {{SI}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} {{KS}} {{LRO}} | ||
==Overview== | ==Overview== | ||
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===Common Causes=== | ===Common Causes=== | ||
*Acute dacryocytosis | |||
*Aging changes | |||
*[[Allergy]] | |||
*[[Blepharitis]] | |||
*[[Cardiac failure]] | |||
*[[Chalazion]] | |||
*Chemical [[burn]] | |||
*[[Contact dermatitis]] | |||
*[[Dacryoadenitis]] | |||
*[[Dermatitis]] | |||
*[[Dermatomyositis]] | |||
*[[Discoid lupus]] | |||
*[[Drugs]] | |||
*[[Herpes Simplex]] | |||
*[[Herpes Zoster]] | |||
*[[Hypothyroidism]] | |||
*[[Nephrotic Syndrome]] | |||
*[[Orbital Disease]] | |||
*Orbital fat herniation | |||
*Orbital cicarticial pemphigoid | |||
*Preseptal/periorbital [[cellulitis]] | |||
*[[Renal Failure]] | |||
*Sebaceous gland [[carcinoma]] | |||
*Squamous or [[basal cell carcinoma]] | |||
*[[Superior Vena Cava Syndrome]] | |||
*Thermal [[burn]] | |||
*[[Trauma]] | |||
*Ultraviolet burn | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
Latest revision as of 20:06, 12 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Luke Rusowicz-Orazem, B.S.
Overview
Periorbital edema refers to swelling around the eyes.
Causes
Common Causes
- Acute dacryocytosis
- Aging changes
- Allergy
- Blepharitis
- Cardiac failure
- Chalazion
- Chemical burn
- Contact dermatitis
- Dacryoadenitis
- Dermatitis
- Dermatomyositis
- Discoid lupus
- Drugs
- Herpes Simplex
- Herpes Zoster
- Hypothyroidism
- Nephrotic Syndrome
- Orbital Disease
- Orbital fat herniation
- Orbital cicarticial pemphigoid
- Preseptal/periorbital cellulitis
- Renal Failure
- Sebaceous gland carcinoma
- Squamous or basal cell carcinoma
- Superior Vena Cava Syndrome
- Thermal burn
- Trauma
- Ultraviolet burn
Causes by Organ System
Causes In Alphabetical Order[1] [2]
- Abnormal sleep length
- Acute dacryocytosis
- Aging changes
- Allergies
- Athyrotic hypothyroidism sequence
- Blepharitis
- Cardiac failure
- Cavernous sinus syndrome polyneuropathy
- Cavernous sinus thrombosis
- Chagas disease
- Chalazion
- Chemical burn
- Chronic cutaneous lupus erythematosus
- Congestive cardiac failure
- Conjunctivitis
- Dacryoadenitis
- Dermatitis
- Dermatomyositis
- Discoid lupus
- Ent tumour
- Excessive alcohol consumption
- Excessive sodium consumption
- Eye trauma
- Eyelid infection
- Head trauma
- Hematoma
- Herniated fat
- Herpes simplex
- Herpes zoster
- Hibernian fever
- Hyperthyroidism
- Hypoalbuminemia
- Hypothyroidism
- Ingenol mebutate
- Insect bites
- Keratitis
- Melkersson-rosenthal-schuermann syndrome
- Menstruation
- Mononucleosis
- Nabilone
- Nephrotic syndrome
- Obstruction of the superior vena cava
- Orbital bone trauma
- Orbital cellulitis
- Orbital cicarticial pemphigoid
- Orbital disease
- Orbital fat herniation
- Orbital inflammation
- Periorbital cellulitis
- Postinfectious glomerulonephritis
- Pramipexole
- Pregnancy
- Renal conditions
- Renal failure
- Sebaceous gland carcinoma
- Sebelipase alfa
- Sinusitis
- Smoking
- Squamous cell carcinoma
- Staphylococcal infection
- Steroids
- Stye
- Sulfasalazine
- Superior vena cava syndrome
- Tear glands
- Thermal burn
- Tick bite on scalp
- Trauma
- Trichinella spiralis
- Trichinosis
- Tumors
- Ultraviolet burn
Diagnosis
History and Symptoms
- History includes:
- Symptomatic history
- Exposure history
- Past medical history
- Family history
- Medicinal history
Eyes
- Full opthamologic exam:
- Chemosis
- Cutaneous vesicles
- Discharge
- Erythmia
- Proptosis
- Tenderness
Laboratory Findings
- Labs include:
- Albumin
- ANA
- BUN / Creatinine
- CBCD
- ESR
- TSH
- Urinalysis
- Culture of eye
- Gram stain if suspected infection
CT
- CT of eyes, head and neck if deemed necessary
Echocardiography or Ultrasound
- Consider echo if CHF is suspected
Other Diagnostic Studies
- Consider biopsy of lesions if necessary
Treatment
- Opthalmology consult
Acute Pharmacotherapies
- Treat with topical antibiotics
- If an allergy, remove allergen, add cold compress and antihistamines