Eyelid Swelling

Aka: Eyelid Swelling, Eyelid Edema, Puffy Eyelid, Blepharal Edema, Blepharoedema

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II. Causes: Eyelid Dermatitis

  1. See Eyelid Dermatitis
  2. Eyelid Contact Dermatitis (marked edema with erythema)
  3. Atopic Dermatitis (erythema, fine scale and lichenification, esp. adults)
  4. Blepharitis
  5. Seborrhea
  6. Rosacea
  7. Capillary Hemangioma (red tumor in infants)
  8. Dermatomyositis (Heliotrope rash)
  9. Discoid Lupus (Localized Eyelid lesion)
  10. Eyelid Ecchymosis (Black Eye)

III. Causes: Eyelid Inflammation (Swollen Red Eyelid)

  1. See Eyelid Inflammation
  2. Chalazion
  3. Malignancy (primarily Basal Cell Carcinoma)
  4. Dacryocystitis
  5. Dacryoadenitis

IV. Causes: Systemic Conditions

  1. Allergic Rhinitis or Allergic Conjunctivitis
  2. Edematous conditions with Eyelid Edema
    1. Angioedema
    2. Congestive Heart Failure
    3. Hypothyroidism
    4. Renal Failure
    5. Hypoalbuminemia

V. Causes: Eyelid Infection

  1. Herpes Simplex
  2. Herpes Zoster Ophthalmicus
  3. Hordeolum or Stye
  4. Orbital Cellulitis
  5. Preseptal Cellulitis

VI. Causes: Orbital Masses

  1. See Proptosis (Exophthalmos)
  2. See Acute Orbital Compartment Syndrome
  3. Bilateral Proptosis
    1. Graves Disease (autoimmune Thyroiditis)
  4. Unilateral Proptosis
    1. Orbital Tumor or Neoplasm
    2. Orbital pseudotumor (autoimmune eye inflammation)
      1. Presents with lid inflammation, Eye Pain and ophthlmoplegia (eye Muscle paralysis)
    3. Cavernous Sinus Thrombosis
      1. Present with ill appearance with Headache, Vomiting, Vision change and Altered Level of Consciousness
    4. Endophthalmitis

VII. Causes: Medications

  1. Periorbital skin inflammation
    1. Glucocorticoids
  2. Stevens-Johnson Syndrome or Toxic Epidermal Necrolysis
    1. Allopurinol
    2. Cephalosporins
    3. Corticosteroids
    4. Valproic Acid
  3. References
    1. Day (2014) J Am Acad Dermatol 70(5): 821 [PubMed]

VIII. References

  1. Claudius in Herbert (2018) EM:Rap 18(8): 6
  2. Carlisle (2015) Am Fam Physician 92(2): 106-12 [PubMed]

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