Periorbital edema

Periorbital edema

Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Periorbital edema refers to swelling around the eyes.

Differential Diagnosis

In alphabetical order:

• 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

References

Template:WikiDoc Sources