Periorbital swelling

Diagnosis

PERIORBITAL

A. Proptosis

    1. Nl IOP

         i. Orbital cellulitis*

         ii. Pseudotumor*

         iii. Orbital tumor*

    2. Inc IOP

         i. Retrobulbar abcess*

         (worsened orbital cellulitis)

         ii. Retrobulb emphysema*

         (worsened pseudotumor)

         iii. Retrobulbar hematoma*

         iv. Orbital tumor*

B. No proptosis

    1. Periorbital cellulitis/erysipelas

    2. Dacryocystitis (lacrimal duct)

    3. Allergic Rx

    4. Nephrotic Syndrome (pediatrics)

LID

A. Blepharitis (crusts)

B. Chalazion (meibomian gland)

C. 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)