Periorbital edema
| 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
Causes In Alphabetical Order:
- Acute dacryocytosis
- Aging changes
- Allergy
- Blepharitis
- Cardiac failure
- Chalazion
- Chemical burn
- Contact dermatitis
- Dacryoadenitis
- Dermatitis
- Dermatomyositis
- Discoid lupus
- Drugs - Ingenol mebutate, Nabilone, Pramipexole, Sulfasalazine
- 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
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