Periorbital swelling

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Differential Diagnosis

Proptosis

  1. Normal IOP
    1. Orbital Cellulitis
    2. Pseudotumor
    3. Orbital tumor
  2. Increased IOP
    1. Retrobulbar abscess
      1. (worsened orbital cellulitis)
    2. Retrobulbar emphysema
      1. (worsened pseudotumor)
    3. Orbital Hematoma
    4. Orbital tumor

No proptosis

  1. Periorbital Cellulitis/erysipelas
  2. Dacryocystitis (lacrimal duct)
  3. Allergic Rx
  4. Nephrotic Syndrome (pediatrics)

Lid Complications

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

See Also

Source

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

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