Periorbital swelling

Diagnosis

PERIORBITAL

1. Proptosis
   1. Nl IOP
      1. Orbital cellulitis^
      2. Pseudotumor^
      3. Orbital tumor^
   2. Inc IOP
      1. Retrobulbar abcess^
         1. (worsened orbital cellulitis)
      2. Retrobulb emphysema^
         1. (worsened pseudotumor)
      3. Retrobulbar hematoma^
      4. Orbital tumor^
2. No proptosis
   1. Periorbital cellulitis/erysipelas
   2. Dacryocystitis (lacrimal duct)
   3. Allergic Rx
   4. Nephrotic Syndrome (pediatrics)

LID

1. Blepharitis (crusts)
2. Chalazion (meibomian gland)
3. Hordeolum (eyelash folicle)

^Emergent diagnoses

^^Critical diagnoses

ORBITAL CELLULITIS (vs. Periorbital)

Any of the following:

1. Fever
2. Ill appearance
3. Blurred vision
4. Proptosis
5. Painful/limited EOM
6. Diplopia
7. Edema of optic disk
8. Venous engorgement of retina

Source

3/20/06 DONALDSON (adapted from Rosen, WMS Practic Guidelines 2000)