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Eyelid Swelling

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161. A Trial to Evaluate the Efficacy of Orbital Radiotherapy in Graves' Orbitopathy

: Comparison of overall GO outcome determined using a composite evaluation [ Time Frame: 52 weeks ] A composite evaluation of GO was described previously. Improvement is defined as amelioration of two parameters in at least one eye, without deterioration of any parameters in both eyes: Deterioration is defined as worsening in two parameters in at least one eye: All other cases are defined as "no change" The parameters are: Eyelid swelling (improvement/worsening according to EUGOGO Atlas evaluation) Lid (...) GO outcome determined using a composite evaluation [ Time Frame: 26 weeks ] A composite evaluation of GO was described previously. Improvement is defined as amelioration of two parameters in at least one eye, without deterioration of any parameters in both eyes: Deterioration is defined as worsening in two parameters in at least one eye: All other cases are defined as "no change" The parameters are: Eyelid swelling (improvement/worsening according to EUGOGO Atlas evaluation) Lid aperture in mm

2017 Clinical Trials

162. Walnut Shell Glasses Moxibustion for Dry Eye Syndrome

of weeks assessed. change from baseline in VAS of eye discomfort [ Time Frame: week 4, week 16, week 28 ] Eye discomfort VAS scale: for the eye symptoms of self-assessment. Dry eye symptoms include itching, foreign body sensation, burning sensation, pain, dry, blurred vision, photophobia, eye swelling, tear Crack,ect. The overall discomfort are evaluate by VAS . Uses a 100-mm line that is labeled at each end. 0 mm represents no eye discomfort, 100 mm represents the most intolerable eye discomfort (...) of the eye, used to evaluate the stability of the tear film. In the room without air flow, 1% of the sodium fluorescein with a glass rod dipped in a little coating in the lower eyelid conjunctival sac, the patient after several times, through the slit lamp cobalt blue light wide band inspection tear film, with a stopwatch Record the last time after the completion of the first blink of an eye to open to the tear film appeared in the first randomly distributed dry spots or black lines of time, recorded

2017 Clinical Trials

163. Subconjunctival orbital fat prolapse and thyroid associated orbitopathy: a clinical association (PubMed)

Subconjunctival orbital fat prolapse and thyroid associated orbitopathy: a clinical association Thyroid associated orbitopathy (TAO) comprises a spectrum of well-recognized clinical signs including exophthalmos, eyelid retraction, soft tissue swelling, ocular misalignment, keratopathy as well as a number of less common manifestations. Subconjunctival fat prolapse is a rare clinical condition occurring typically spontaneously in elderly patients with a mean age of 65-72 years. We describe

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2017 Clinical interventions in aging

164. Primary hypertrophic osteoarthropathy due to a novel SLCO2A1 mutation masquerading as acromegaly (PubMed)

Primary hypertrophic osteoarthropathy due to a novel SLCO2A1 mutation masquerading as acromegaly A 20-year-old man with an 8-year history of progressive enlargement of his hands and feet, coarsening facial features, painful joints and thickened, oily skin was referred for investigation of acromegaly. On examination, the subject was of normal height and weight. He had markedly increased skin thickness around the forehead, eyelids and scalp with redundant skin folds. Bilateral painful knee (...) swelling was accompanied by enlargement of the extremities, and his fingers were markedly clubbed. Routine hematological, biochemical and hormonal blood tests, including GH and IGF-1 were normal. The clinical picture suggested primary hypertrophic osteoarthropathy (PHOA) rather than acromegaly and radiological studies were supportive of this, demonstrating increased subperiosteal bone formation and increased bone density and cortical thickening. There was widespread joint disease, with narrowing

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2017 Endocrinology, diabetes & metabolism case reports

165. Rosai-Dorfman Disease of the Lung Overlapping with IgG4-related Disease: The Difficulty in Its Differential Diagnosis (PubMed)

Rosai-Dorfman Disease of the Lung Overlapping with IgG4-related Disease: The Difficulty in Its Differential Diagnosis We herein report a case of Rosai-Dorfman disease (RDD) overlapping with IgG4-related disease (IgG4-RD), which presented as diffuse interstitial lung disease with a perilymphatic pattern, followed by submandibular gland and eyelid swelling. The pathological findings of the submandibular gland biopsy specimen were indicative of IgG4-RD alone. We diagnosed the patient with RDD

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2017 Internal Medicine

166. Bilaterally Diffuse Lacrimal Gland Involvement: Initial Presentation of Systemic Sarcoidosis (PubMed)

Bilaterally Diffuse Lacrimal Gland Involvement: Initial Presentation of Systemic Sarcoidosis Orbital involvement in systemic sarcoidosis is a rare condition. We report a case of orbital sarcoidosis with bilaterally huge lacrimal gland involvement as the initial manifestation of systemic sarcoidosis. A 20-year-old woman admitted the ophthalmology department with progressive bilateral upper eyelid swelling for 6 months. The only pathologic finding was the presence of bilateral, symmetrical, solid (...) , lobular masses at the lateral upper eyelids at the location of lacrimal glands. On systemic examination, bilateral parotid and submandibular glands appeared swollen. Magnetic resonance imaging of the orbit revealed bilateral symmetrical diffuse enlargement of the lacrimal glands with maximum and minimum thickness of 11 mm and 7 mm, respectively. The biopsy findings were compatible with sarcoidosis. Although lacrimal gland involvement has been reported in different studies, we for the first time report

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2017 Turkish Journal of Ophthalmology

167. Meibography for eyes with posterior blepharitis (PubMed)

of dryness was performed including slit lamp examination looking for signs of posterior blepharitis, tear breakup time (TBUT), superficial punctate keratopathy (SPK), Schirmer II test (with anesthesia) and meibum score. Non-contact meibography was performed for both upper and lower eyelids using the meibo-grade system which involved distortion of meibomian gland, shortening and dropout.Lid margin abnormalities (Telangiectasia, lid margin swelling and hyperemia) were all significantly higher

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2017 Saudi Journal of Ophthalmology

168. Cavernous hemangioma of the orbit: an unusual acute presentation (PubMed)

Cavernous hemangioma of the orbit: an unusual acute presentation We report an unusual presentation of an orbital cavernous hemangioma in a 26-year-old female, who noted sudden redness and swelling of the left eye (LE) on waking up. At presentation, upper eyelid edema with periorbital ecchymosis and subconjunctival hemorrhage were noted in the LE. Although there was transient symptomatic relief with topical medications, blurring of vision developed in the LE. When seen 10 days later

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2017 International medical case reports journal

169. A B-cell lymphoma case that is unclassifiable, and intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma of lacrimal gland (PubMed)

A B-cell lymphoma case that is unclassifiable, and intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma of lacrimal gland A 60-year-old woman presented with acute eyelid swelling and a subcutaneous hemorrhage in the right eye. Magnetic resonance imaging showed a spherical tumor of the lacrimal gland. The tumor was removed by the Kroenlein method. We diagnosed as a B-cell lymphoma that is unclassifiable, and intermediate between diffuse large B-cell lymphoma (DLBCL

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2017 International medical case reports journal

170. Ocular metastasis from breast carcinoma simulating anterior scleritis: a case report (PubMed)

for stage IIIc left-sided breast cancer 2 years ago with six cycles of chemotherapy with docetaxel, adriamycin, and cyclophosphamide after undergoing modified radical mastectomy. An ophthalmic examination revealed a tender subconjunctival swelling superotemporally on retracting right upper eyelid. This finding alone indicated anterior scleritis. On examining fundus under mydriasis, an amelanotic subretinal mass could be visualized in the posterior pole superotemporal to macula. An orbital magnetic

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2017 Journal of medical case reports

171. Gibberellin‐regulated protein in Japanese apricot is an allergen cross‐reactive to Pru p 7 (PubMed)

IgE against apricot, peach, rPru p 1, rPru p 3, and rPru p 4 was 14.3%, 57.1%, 0%, 0%, and 0%, respectively. Patients developed allergic reactions that were frequently accompanied with facial swelling, especially of the eyelids, which was dependent on cofactors, such as exercise.These results indicated that GRP might be a causative allergen of JA allergy, whose onset frequently requires a cofactor, such as exercise, and might be cross-reactive between JAs and peaches.© 2017 The Authors. Immunity

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2017 Immunity, Inflammation and Disease

172. Optimal management of Graves orbitopathy: a multidisciplinary approach. (PubMed)

. Graves' orbitopathy is characterised by a wide open eye appearance, caused by upper eyelid retraction and soft-tissue swelling that causes exophthalmus. Symptoms include photophobia, sandy feeling in the eye, painful eye movements and diplopia. Visual acuity may be reduced. In some cases emergency treatment is necessary to prevent irreversible vision loss. Smoking should be stopped. Mild to moderate Graves' orbitopathy may be an indication for corticosteroid treatment or radiotherapy. Once

2017 Netherlands Journal of Medicine

173. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

breath, fatigue, headache, and decreased appetite, although common, are not specific indicators of acute sinusitis. Physical examination findings are also not particularly helpful in distinguishing sinusitis from uncomplicated URIs. Erythema and swelling of the nasal turbinates are nonspecific findings. Percussion of the sinuses is not useful. Transillumination of the sinuses is difficult to perform correctly in children and has been shown to be unreliable. , Nasopharyngeal cultures do not reliably (...) , several investigators in the 1970s and 1980s observed that children with uncomplicated viral URI had frequent abnormalities of the paranasal sinuses on plain radiographs. – These abnormalities were the same as those considered to be diagnostic of acute bacterial sinusitis (diffuse opacification, mucosal swelling of at least 4 mm, or an air-fluid level). As technology advanced and CT scanning of the central nervous system and skull became prevalent, several studies reported on incidental abnormalities

2013 American Academy of Pediatrics

175. Bell's palsy

incompetence and an inability to close the eyelid, leading to potential eye injury. Additional long-term poor outcomes do occur and can be devastating to the patient. Treatments are generally designed to improve facial function and facilitate recovery. There are myriad treatment options for Bell’s palsy, and some controversy exists regarding the effectiveness of several of these options, and there are consequent variations in care. In addition, numerous diagnostic tests available are used in the evaluation (...) palsy is a rapid unilateral facial nerve paresis (weakness) or paralysis (complete loss of movement) of unknown cause. The condition leads to the partial or complete inability to voluntarily move facial muscles on the affected side of the face. Although typically self-limited, the facial paresis/paralysis that occurs in Bell’s palsy may cause significant temporary oral incompetence and an inability to close the eyelid, leading to potential eye injury. Additional long-term poor outcomes do occur

2013 American Academy of Otolaryngology - Head and Neck Surgery

176. Acute Rhinosinusitis in Adults

, infraorbital hypesthesia, altered mental status, significant facial swelling, diplopia, ptosis, chemosis (swelling of tissue lining eyelid and eye surface), proptosis, and pupillary or extraocular movement abnormalities. Medical Therapy Decision to use antibiotics. As noted in Table 2, approximately 70% of patients with acute bacterial rhinosinusitis improve within 2 weeks without antibiotics; approximately 85% improve with appropriate antibiotics. The incidence of severe complications and progression from (...) . Patients that are evaluated by a specialist for an active and recurrent infection may benefit from endoscopic cultures of the discharge as it exits the sinuses, in order to guide antibiotic therapy. Dental sinusitis. Clues for dental source include poor oral health, single tooth sensitivity or pain, facial swelling, and foul nasal odors. Complications. Signs and symptoms worrisome for intracranial or orbital extension of infection include high fever, severe pain, worsening headache, meningeal signs

2013 University of Michigan Health System

177. Management of suspected viral encephalitis in children

| | | • Airways, Breathing, Circulation • Mini-mental state, cognitive function, behaviour (when possible) • Evidence of prior seizures (tongue biting, injury) • Subtle motor seizures (mouth, digit, eyelid twitching) • Meningism • Focal neurological signs • Papilloedema • Flaccid paralysis (anterior horn cell involvement) • Rash (purpuric – meningococcus; vesicular – hand foot and mouth disease; varicella zoster; rickettsial disease) • Injection sites of drug abuse • Bites from animals (rabies) or insects

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2012 British Infection Association

178. Infections Associated with Personal Service Establishments: Piercing and Tattooing

piercing device was manually removed from ear after it failed to disengage properly during procedure; • Abscess had formed around the site and Pseudomonas aeruginosa was isolated from the pus; • Required reconstructive surgery. Farah & Harmon (1998) 23 Unknown tongue 1 • 25-year old female presented with inflamed tongue within 1 week of obtaining piercing; • Swelling began within 6-8 hours of piecing and progressed within next 2-3 days. Ferringer et al. (2008) 22 Mycobacterium spp eyebrow; navel 2 (...) on (1997) 19 Pseudomonas and Staphylococcus high ear (cartilage) 2 • Case 1: 14-year old girl presented with infection 2.5 weeks after receiving piercing; admitted to hospital after swelling, erythmea, tenderness developed at site; • Case 2: 16-year old girl presented with infection 2 days after receiving cartilage piercing. Trupiano et al. (2001) 76 Mycobacterium abscessus nipple 1 • 17-year old female presented with 2 month history of inflammation of right breast; diagnosed as M. abscessus infection

2012 National Collaborating Centre for Environmental Health

180. Maxillofacial trauma

if the patient has blown the nose after the trauma they may report an immediate increase in eyelid swelling. In this case air is blown from the maxillary sinus via the fracture gaps into the orbit. Air crepitus in the periorbital soft tissue is palpable. Patients with suspected orbital fracture should not blow their nose. Figure 5. 3–D reconstruction of a right comminuted zygomatic complex fracture Just as a haematoma under the tongue can be an indicator for a fractured mandible, a subconjunctival haematoma (...) and swelling can mask the extent of the underlying injury. Overlooking a fracture may not have immediate consequences, but can result in disfigurement and permanent disability. Not only does this result in a disgruntled patient, it may affect their ability to continue to perform their occupation. 1 Unfortunately, the incidence of maxillofacial trauma is increasing at an alarming rate. Maxillofacial trauma presentations in 2011 at the Royal Brisbane Hospital (Queensland) have risen 28% in the same 10 month

2012 Clinical Practice Guidelines Portal

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