Periorbital edema

Acute Lid Swelling: a Series of Unusual Cases, Treatment and Follow-up

“…Infectious Infected orbital preexisting lesion (case A) Child, painful Necrotizing fasciitis [4] Rapid evolvement Acute dacryoadenitis [2] Typical lid form, painful Inflammatory…”

“…Foreign body reaction (case B) Patientʼs history Reaction to medication [2] Patientʼs history Churg Strauss syndrome (case C) Eosinophilia Graves orbitopathy combined with idiopathic orbital inflammation [5] Thyroid affection, exophthalmos, double vision IgG4 associated inflammation [1] Multiple locations Ruptured dermoid cyst (case D) DD Rhabdomyosarcoma Tumor Rhabdomyosarcoma [6] Rapid evolvement (false trauma history), child Mucocele [3] History of sinusitis Lymphangioma (case E)…”

“…Patients presenting with lid swelling at the emergency department can be difficult to diagnose since there are several possible differential diagnoses with similar clinical presentation. While some are linked to systemic syndromes like IgG4-related diseases [1] others only affect the eyelid as the blepharochalasis syndrome [2] or are secondary or connected to a wide range of orbital lesions [3]. For correct diagnosis and adequate treatment a systematic approach is necessary.…”

“…However, even acute dacryoadenitis can hide a chronic disease (e.g. Lupus [2]) needing further treatment. Cosmetic treatment with fillers (case B) or various medications [2] can induce serious inflammatory reactions.…”

“…Lupus [2]) needing further treatment. Cosmetic treatment with fillers (case B) or various medications [2] can induce serious inflammatory reactions. In these cases antibiotics are not effective and steroids are needed and the causing agent has to be avoided in the future.…”