Eyelids and Adnexa

CHRONIC EPIPHORA

Signs and Symptoms Epiphora describes the spillover of tears from the eye onto the lids and ocular adnexa. It is not a diagnosis, but rather a clinical sign indicating insufficient tear drainage or, in some cases, overproduction. Numerous etiologic factors can lead to this phenomenon.1-4 A distinction must be made, however, between chronic and acute…

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ORBITAL CELLULITIS

Signs and Symptoms Orbital cellulitis is a vision-threatening infection of the tissues of the orbit.1-5 The condition results from direct spread of infection from the ocular adnexa and adjacent orbital structures to the orbit.6-13 Signs and symptoms include exophthalmos (proptosis), ocular displacement with or without diplopia, conjunctival chemosis, eye lid edema with injection, palpable warmness,…

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DACRYOCYSTITIS

Signs and Symptoms Acute dacryocystitis (lacrimal sac mucocele) is an infection of the lacrimal sac.1-7 It can occur as result of the elements or remnants of trauma, acute or long-standing lacrimal system obstruction or from bacterial infection sourced to the contents of the tear film and or conjunctiva.1-7 Dacryocystitis may also result from an extension…

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CONTACT DERMATITIS

Signs and Symptoms Contact dermatitis is an inflammatory reaction of the skin, including the eyelid(s) and periocular adnexa. The presentation may occur unilaterally or bilaterally, depending upon the antigenic exposure. In acute cases, the patient may present with diffuse lid erythema and edema, as well as pruritic vesicles or bullae.1 Chronic cases may show eczema,…

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PRESEPTAL CELLULITIS

Signs and Symptoms Preseptal cellulitis is an infection within the eyelid anterior to the orbital septum.1-5 Signs and symptoms include variable pain upon palpation, redness, swelling and red-purple skin coloration that is firm and warm to the touch.1-5 Other ocular signs include conjunctival injection, edema and depending upon the extent and severity of the periorbital…

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