Periorbital swelling

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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)

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