Periorbital edema

WikiDoc Resources for Periorbital edema

Articles

Most recent articles on Periorbital edema

Most cited articles on Periorbital edema

Review articles on Periorbital edema

Articles on Periorbital edema in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Periorbital edema

Images of Periorbital edema

Photos of Periorbital edema

Podcasts & MP3s on Periorbital edema

Videos on Periorbital edema

Evidence Based Medicine

Cochrane Collaboration on Periorbital edema

Bandolier on Periorbital edema

TRIP on Periorbital edema

Clinical Trials

Ongoing Trials on Periorbital edema at Clinical Trials.gov

Trial results on Periorbital edema

Clinical Trials on Periorbital edema at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Periorbital edema

NICE Guidance on Periorbital edema

NHS PRODIGY Guidance

FDA on Periorbital edema

CDC on Periorbital edema

Books

Books on Periorbital edema

News

Periorbital edema in the news

Be alerted to news on Periorbital edema

News trends on Periorbital edema

Commentary

Blogs on Periorbital edema

Definitions

Definitions of Periorbital edema

Patient Resources / Community

Patient resources on Periorbital edema

Discussion groups on Periorbital edema

Patient Handouts on Periorbital edema

Directions to Hospitals Treating Periorbital edema

Risk calculators and risk factors for Periorbital edema

Healthcare Provider Resources

Symptoms of Periorbital edema

Causes & Risk Factors for Periorbital edema

Diagnostic studies for Periorbital edema

Treatment of Periorbital edema

Continuing Medical Education (CME)

CME Programs on Periorbital edema

International

Periorbital edema en Espanol

Periorbital edema en Francais

Business

Periorbital edema in the Marketplace

Patents on Periorbital edema

Experimental / Informatics

List of terms related to Periorbital edema

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[edit | edit source]

Periorbital edema refers to swelling around the eyes.

## Causes[edit | edit source]

### Common Causes[edit | edit source]

* 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[edit | edit source]

Cardiovascular | Cardiac failure, Congestive cardiac failure, Obstruction of the superior vena cava, Superior vena cava syndrome

|

Chemical/Poisoning | Chemical burn, Tick bite on scalp, Insect bites
Dental | No underlying causes
Dermatologic | Dermatitis, Dermatomyositis, Discoid lupus, Sebaceous gland carcinoma, Thermal burn, Ultraviolet burn
Drug Side Effect | Ingenol mebutate, Nabilone, Pramipexole, Sebelipase alfa, Steroids, Sulfasalazine
Ear Nose Throat | Sinusitis
Endocrine | Athyrotic hypothyroidism sequence , Hyperthyroidism, Hypoalbuminemia, Hypothyroidism
Environmental | Insect bites
Gastroenterologic | No underlying causes
Genetic | No underlying causes
Hematologic | Hematoma, Obstruction of the superior vena cava
Iatrogenic | No underlying causes
Infectious Disease | Acute dacryocytosis, Blepharitis , Chagas disease, Conjunctivitis, Dacryoadenitis, Dermatomyositis, Eyelid infection, Herpes simplex, Herpes zoster, Hibernian fever, Keratitis, Mononucleosis, Orbital cellulitis, Orbital inflammation, Periorbital cellulitis, Postinfectious glomerulonephritis, Sinusitis , Staphylococcal infection , Stye , Trichinella spiralis, Trichinosis
Musculoskeletal/Orthopedic | Orbital bone trauma, Orbital cellulitis, Orbital cicarticial pemphigoid, Orbital disease, Orbital fat herniation, Orbital inflammation, Periorbital cellulitis
Neurologic | Abnormal sleep length, Cavernous sinus syndrome polyneuropathy, Cavernous sinus thrombosis, Melkersson-rosenthal-schuermann syndrome
Nutritional/Metabolic | No underlying causes
Obstetric/Gynecologic | Menstruation, Pregnancy
Oncologic | Sebaceous gland carcinoma, Squamous cell carcinoma, Tumors
Ophthalmologic | Acute dacryocytosis, Blepharitis , Chalazion, Conjunctivitis, Dacryoadenitis, Eyelid infection, Keratitis
Overdose/Toxicity | Excessive alcohol consumption, Excessive sodium consumption, Smoking
Psychiatric | No underlying causes
Pulmonary | No underlying causes
Renal/Electrolyte | Excessive sodium consumption, Nephrotic syndrome, Postinfectious glomerulonephritis, Renal conditions, Renal failure
Rheumatology/Immunology/Allergy | Allergies, Chronic cutaneous lupus erythematosus, Discoid lupus
Sexual | Herpes simplex
Trauma | Eye trauma, Head trauma, Hematoma, Herniated fat, Orbital bone trauma, Orbital fat herniation, Thermal burn, Tick bite on scalp, Ultraviolet burn
Urologic | No underlying causes
Miscellaneous | Aging

### Causes In Alphabetical Order[1] [2][edit | edit source]

* 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[edit | edit source]

### History and Symptoms[edit | edit source]

* History includes:

* Symptomatic history
* Exposure history
* Past medical history
* Family history
* Medicinal history

### Eyes[edit | edit source]

* Full opthamologic exam:

* Chemosis
* Cutaneous vesicles
* Discharge
* Erythmia
* Proptosis
* Tenderness

### Laboratory Findings[edit | edit source]

* Labs include:

* Albumin
* ANA
* BUN / Creatinine
* CBCD
* ESR
* TSH
* Urinalysis

* Culture of eye

* Gram stain if suspected infection

### CT[edit | edit source]

* CT of eyes, head and neck if deemed necessary

### Echocardiography or Ultrasound[edit | edit source]

* Consider echo if CHF is suspected

### Other Diagnostic Studies[edit | edit source]

* Consider biopsy of lesions if necessary

## Treatment[edit | edit source]

* Opthalmology consult

### Acute Pharmacotherapies[edit | edit source]

* Treat with topical antibiotics
* If an allergy, remove allergen, add cold compress and antihistamines

## References[edit | edit source]

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

Template:WikiDoc Sources