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Eyelid Swelling

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101. Dacryocystitis (chronic)

result from a previous acute infection and from blockage of the tear duct leading from the tear sac to the inside of the nose. Finger pressure over the sac sometimes causes white mucus to appear at the openings of the tear passages at the inner corners of the eyelids; this may help in reaching a diagnosis. Patients usually complain of swelling and sometimes tenderness over the tear sac, plus watering of the eye. If the condition results in repeated episodes of acute infection, antibiotics are given (...) History of recurrent or chronic unilateral conjunctivitis Previous acute dacryocystitis Chronic nasolacrimal duct obstruction Facial fracture Foreign bodies (e.g. punctal or canalicular plugs) Symptoms One or more of the following: recurrent episodes of epiphora, plus swelling, tenderness and redness at medial canthus persistent redness at medial canthus persistent painless swelling at or below the medial canthus chronic epiphora Signs Recurrent episodes similar to, but less severe than, acute

2015 College of Optometrists

104. Baricitinib (Olumiant) - rheumatoid arthritis

reduced significantly the magnitude of the swelling by 48%, suggesting that baricitinib is able to inhibit delayed type hypersensitivity cellular responses which may contribute to the overall efficacy observed in the rodent models which reflect certain aspects of rheumatoid arthritis. In the murine collagen-induced arthritis (CIA) model, oral baricitinib =3 mg/kg bid showed efficacy which may be dependent on the impact of both T and B cell function by modulating the signalling of cytokines involved (...) in the adaptive immune response. In a murine anti-collagen antibody induced arthritis model, baricitinib at 10 mg/kg bid improved clinical and histological signs without inhibiting the generation of autoantibodies and without a detectable reduction in peripheral leukocyte or erythroid cellular components. In a rat adjuvant arthritis (rAIA) model, baricitinib (IV, 1 – 6 mg/kg/day for 2 weeks) reduced inflammation 50 – 100% as measured by redness and swelling of the paws, and histological comparison. Plasma

2017 European Medicines Agency - EPARs

105. Guidelines on the initial assessment, management outside specialised centres and referral pathways for patients with Graves' orbitopathy

of new swelling or redness of the eyelids or eyes (Box 1, S1). Note that proptosis may not be present. The majority of patients newly presenting with GO have disturbance of thyroid function, usually hyperthyroidism. The association between smoking and GO is strong and consistent. 7 Selenium supplements in the form of sodium selenite at a dose of 100 µg twice daily (equivalent to 91.3 µg of elemental selenium twice daily), given for 6 months, are bene? cial in patients with active mild GO. 8 Thyroid (...) with undiagnosed GO > Redness in the eyes or lids > Swelling or feeling of fullness in one or both upper eyelids > Bags under the eyes > Eyes seem to be too wide open > Pain in or behind the eyes Discriminating points in favour of a diagnosis of GO > Known or suspected thyroid dysfunction, particularly if recent onset (within 18 months) > Symptoms unrelieved by topical antibiotics > Eyelids abnormally wide (upper or lower eyelid retraction) > New ‘bags’ in eyelids upper or lower > Change in appearance of eyes

2015 British Thyroid Association

106. Allergic Rhinitis

are common and include watery eye discharge, swelling of the conjunctivae and, especially in children, the “allergic shiner,” with darkening and puffiness of the lower eyelids, reflecting venous pooling in the lid vessels. Persistent adenoids may contribute to nasal symptoms and should be evaluated, especially in children. Frequent throat clearing is often present as well, reflecting postnasal drip. These symptoms are nonspecific to AR, and if a patient has them, clinicians should also rule out other (...) , psychotropic agents, and topical decongestants, that may cause nasal symptoms. Moreover, a family history of AR, asthma, or atopic dermatitis strengthens the diagnosis of AR in patients with compatible symptoms. , Finally, the severity of symptoms should be assessed to help guide treatment decisions. Findings on physical examination that support the diagnosis of AR include several classic findings, such as clear rhinorrhea and pale pink or bluish swelling of the nasal turbinate mucosa. Ocular findings

2015 American Academy of Otolaryngology - Head and Neck Surgery

107. Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging

, and exposure of eyeliner tattoos may result in image artifacts, burns, swelling, or puffiness , ( Category B4-H evidence ). Numerous observational studies and case reports indicate interactions with the magnetic field ( e.g. , movements, displacements, and image artifacts) and increases in temperature during MRI for ferromagnetic items such as aneurysm clips, surgical clips, prosthetic heart valves, intravenous infusion pumps, coronary arterial stents, and implanted dental magnet keepers ( Category B3/4-H

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2015 American Society of Anesthesiologists

109. Androgen receptor-positive ductal adenocarcinoma of the nasolacrimal duct: A case report (PubMed)

involving the nasolacrimal duct of a middle-aged patient who had suffered from right eyelid swelling, diplopia and epiphora for 4 months. Although the tumor histologically resembled oncocytic carcinoma, electron microscopic examination did not show cytoplasmic accumulation of mitochondria, which excluded the diagnosis of oncocytic carcinoma with AR positivity.We concluded that this is the first case of AR-positive ductal adenocarcinoma arising from nasolacrimal duct. It is possible that some

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2016 American journal of ophthalmology case reports

113. Mycophenolate plus methylprednisolone versus methylprednisolone alone in active, moderate-to-severe Graves' orbitopathy (MINGO): a randomised, observer-masked, multicentre trial. (PubMed)

day for 24 weeks). The prespecified primary endpoints were rate of response (reduction of at least two parameters of a composite ophthalmic index [eyelid swelling, clinical activity score, proptosis, lid width, diplopia, and eye muscle motility] without deterioration in any other parameter) at 12 weeks and rate of relapse (a worsening of symptoms that occurred after a response) at 24 and 36 weeks. Rates of response at week 24 and sustained response at week 36 were added as post-hoc outcomes

2018 The lancet. Diabetes & endocrinology

114. Aerosolized Fibrin Sealant Is Effective for Postoperative Edema and Ecchymosis in Open Rhinoplasty Without Osteotomy. (PubMed)

of 2 groups: those treated with aerosolized FS (FS group) and those not treated (control group). The effect of FS on edema of the eyelid, edema of the dorsum and tip of the nose, and periorbital ecchymosis was separately rated postoperatively using a scale of 0 to 4 or 0 to 3. Postoperative pain was evaluated using questionnaires quantified with a visual analog scale. The Mann-Whitney U and Wilcoxon tests were used to compare parameters between the groups.A total of 41 patients were included (...) in this study. The FS group (n = 20) consisted of 13 male and 7 female patients with a mean age of 34.8 ± 5.8 years. The control group (n = 21) consisted of 15 male and 6 female patients with a mean age of 32.4 ± 4.8 years. There were no statistically significant differences between the 2 groups with respect to age, gender, or combined surgical techniques (P > .05). Aerosolized FS significantly reduced not only ecchymosis and swelling in the periorbital area but also edema of the nasal dorsum (P < .05

2018 Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

115. Exophthalmos in a young woman with no graves' disease - a case report of IgG4-related orbitopathy. (PubMed)

delivery, with suspected Graves' orbitopathy. She has had bronchial asthma and recurrent skin rashes of unknown aetiology for the last 10 years and was treated for dacryoadenitis with steroid containing eye drops 5 years ago. During pregnancy she developed eyelid swelling. After delivery, eyelid redness and retrobulbar pain evolved. Proptosis was demonstrated by Hertel's exophthalmometry. Orbital magnetic resonance imaging showed enlarged lateral and superior rectus muscles in both orbits. Thyroid

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2018 BMC Ophthalmology

116. A case report of lupus erythematosus tumidus converted from discoid lupus erythematosus. (PubMed)

, including prominent swelling of the eyelids, a few erythematous, edematous plaques on the left forehead, face, and neck, and 2 hairless macules. The histopathologic findings reveal liquefaction degeneration of the basal cells, perivascular, and periadnexal infiltration of lymphocytes, and interstitial mucin deposition in the superficial, and deep dermis.A diagnosis of LET was made on clinical and histological features.The patient started treatment with prednisolone (1 mg/kg. d), combined

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2018 Medicine

117. Adult-Onset Orbital Sinus Pericranii with T2 Hyperintensity Lesion: A Case Report (PubMed)

Adult-Onset Orbital Sinus Pericranii with T2 Hyperintensity Lesion: A Case Report Sinus pericranii is a rare vascular anomaly, and most cases occur in children and develop at the midline. In previous reports of sinus pericranii, T2 hyperintensity lesion has not been regarded as a common sequela. We report an extremely rare case of orbital sinus pericranii with associated T2 hyperintensity lesion. A 50-year-old man was admitted to our hospital with a history of right upper eyelid swelling (...) in patients with a soft compressible swelling on the head, even if the lesion is located off the midline.

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2018 Case reports in neurology

118. Calvarial Tuberculosis in a Preschool-Aged Child: An uncommon entity (PubMed)

Calvarial Tuberculosis in a Preschool-Aged Child: An uncommon entity Calvarial tuberculosis is a rare manifestation of tuberculosis, especially in children under five years of age. We report a two-and-a-half-year-old male child who presented to the Nilratan Sircar Medical College, Kolkata, India, in 2015 with frontoparietal fluctuant swelling of three months' duration. He had also had chronic sinus discharge from the left lower eyelid over the previous six months. Computed tomography (...) of the head revealed a frontal swelling along with erosion of both the outer and inner plates of the left frontal bone. Fine needle aspiration of the pus indicated the presence of acid-fast bacilli. Unfortunately, no primary focus of tuberculosis could be established. The patient improved after one year of antitubercular therapy without requiring any surgical intervention and with no sign of subsequent disease recurrence.

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2018 Sultan Qaboos University medical journal

119. Intraorbital hemorrhage following a secondary intervention at integrated zygomatic implants: A case report (PubMed)

with proptosis and diffuse swelling of the eyelids. Emergency surgery was performed to drain the intraorbital hemorrhage. The patient healed uneventfully without loss of visual acuity.Scarce prior reports describe trauma to the orbit during zygomatic implant surgery, mostly involving orbital penetration during zygoma implant placement. To our knowledge, the present case report is the first to describe an intraorbital hemorrhage that led to an orbital compression syndrome necessitating emergency surgery.In

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2018 International journal of surgery case reports

120. Bilateral orbital isolated (solitary) neurofibroma in the absence of neurofibromatosis – A case report (PubMed)

of neurofibromatosis who presented with right upper eyelid swelling. Radiological studies revealed bilateral identical masses in the superior orbits. The patient underwent surgical excision of the lesion on the right side and it was proved to be neurofibroma. She did not have a recurrence with a follow up period of 2 years but developed sensory deficit. This is the fifth reported case of bilateral isolated neurofibroma. (...) Bilateral orbital isolated (solitary) neurofibroma in the absence of neurofibromatosis – A case report Isolated neurofibroma is a slowly progressive tumor rarely found in the orbit accounting for less than 1% of the space occupying lesions of the orbit. It usually presents in the 2nd to 5th decades of life with proptosis, swelling, visual changes, ptosis, diplopia or pain. Almost all cases reported are unilateral. We report a 23-year-old female with no systemic features or family history

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2018 Saudi Journal of Ophthalmology

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