Periorbital edema

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Periorbital edema

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Periorbital edema

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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:

[1] [2]

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:
  • Culture of eye

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

  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

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