Eye Lid Swelligs
Eye Lid Swelligs
Eye Lid Swelligs
•Definition:
• Eyelid swelling refers to abnormal
enlargement of the eyelid due to
inflammation, infection, or other causes.
•Anatomy of the Eyelid:
• Layers: Skin, muscle (orbicularis oculi),
tarsal plate, conjunctiva.
• Glands: Meibomian glands, Zeis glands.
Common Causes of Eyelid Swellings
•Inflammatory causes:
• Chalazion
• Hordeolum (Stye)
• Blepharitis
•Infectious causes:
• Preseptal cellulitis
• Orbital cellulitis
• Herpes zoster ophthalmicus
•Allergic reactions:
• Allergic conjunctivitis
• Angioedema
•Trauma-related:
• Blunt trauma
• Post-surgical swelling
Common Causes of Eyelid Swellings
•Inflammatory causes:
• Chalazion
• Hordeolum (Stye)
• Blepharitis
•Infectious causes:
• Preseptal cellulitis
• Orbital cellulitis
• Herpes zoster ophthalmicus
•Allergic reactions:
• Allergic conjunctivitis
• Angioedema
•Trauma-related:
• Blunt trauma
• Post-surgical swelling
Chalazion
•Definition: A painless, chronic granulomatous
inflammation of a meibomian gland.
•Symptoms:
• Localized, painless swelling
• Hard lump on the eyelid
•Management:
• Warm compresses
• Surgical drainage if persistent
Hordeolum (Stye)
•Definition: An acute infection of the eyelid
margin, typically caused by Staphylococcus
aureus.
•Symptoms:
• Painful, tender swelling
• Redness of the affected area
• Pus formation
•Management:
• Warm compresses
• Topical or oral antibiotics if infected
Preseptal Cellulitis
•Definition: Infection of the eyelid and periocular
tissues anterior to the orbital septum.
•Symptoms:
• Swelling, redness of the eyelid
• No impairment of eye movements or vision
• Often following local trauma or sinusitis
•Management:
• Oral antibiotics (e.g., amoxicillin-
clavulanate)
• Close monitoring for progression to orbital
cellulitis
Orbital Cellulitis
•Definition: A serious infection involving tissues
behind the orbital septum, potentially life-
threatening.
•Symptoms:
• Severe eyelid swelling, pain
• Proptosis (eye bulging)
• Impaired eye movements
• Vision loss in severe cases
•Management:
• IV antibiotics
• Urgent ophthalmology consultation
Blepharitis
•Definition: Chronic inflammation of the eyelid
margin.
•Symptoms:
• Redness, swelling, and crusting of eyelid
margins
• Itchy, burning sensation
•Management:
• Eyelid hygiene (warm compresses, cleaning)
• Topical antibiotics for bacterial infections
Allergic Conjunctivitis and Angioedema
•Allergic Conjunctivitis:
• Symptoms: Itchy, watery eyes, redness,
eyelid swelling.
• Management: Antihistamines, cold
compresses.
•Angioedema:
• Symptoms: Sudden, painless swelling of
the eyelids and periorbital area.
• Management: Antihistamines,
corticosteroids, and avoidance of triggers.
: Herpes Zoster Ophthalmicus
•Definition: Reactivation of the varicella-zoster
virus in the ophthalmic division of the trigeminal
nerve.
•Symptoms:
• Painful vesicular rash on the eyelid
• Swelling, redness, potential vision loss if
untreated
•Management:
• Antivirals (e.g., acyclovir)
• Ophthalmology referral
Trauma-related Eyelid Swelling
•Causes:
• Blunt trauma leading to hematoma
• Post-operative swelling
•Management:
• Cold compresses in the acute phase
• Monitoring for signs of infection or deeper
injury (orbital fracture)
Conclusion
•Summary of Key Points:
• Various causes of eyelid swellings:
Inflammatory, infectious, allergic, traumatic.
• Most common conditions: Chalazion,
hordeolum, cellulitis.
• Management ranges from warm compresses
to antibiotics or surgery.
• Importance of early diagnosis and treatment
in serious cases (e.g., orbital cellulitis).