Periorbital edema: Difference between revisions
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==Overview== | ==Overview== | ||
'''Periorbital edema''' refers to swelling around the eyes. | '''Periorbital edema''' refers to swelling around the eyes. | ||
== | == Causes In Alphabetical Order: <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>== | ||
In | |||
*Acute dacryocytosis | *Acute dacryocytosis | ||
Revision as of 17:03, 30 July 2012
| Periorbital edema |
Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Periorbital edema refers to swelling around the eyes.
Causes In Alphabetical Order: [1] [2]
- Acute dacryocytosis
- Aging changes
- Allergy
- Blepharitis
- Cardiac failure
- Chalazion
- Chemical burn
- Contact dermatitis
- Dacryoadenitis
- Dermatitis
- Dermatomyositis
- Discoid lupus
- 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
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
MRI and 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