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Published on: February 6, 2021
Periorbital and orbital infections
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Box 4108, 600 Highland Avenue, Madison, WI 53792, USA. erwald@wisc.edu
A swollen eye in children can range from minor issues to serious sight- or life-threatening conditions. This article reviews the differential diagnosis and management of infectious and noninfectious causes of pediatric periorbital swelling.
Area of Science:
- Ophthalmology
- Pediatrics
- Emergency Medicine
Background:
- Swollen eye is a common chief complaint in pediatric patients.
- Causes range from benign to sight- or life-threatening conditions.
- Prompt diagnosis and management are crucial.
Purpose of the Study:
- To review the differential diagnosis of a swollen eye in children.
- To outline management strategies for various etiologies.
- To provide guidance for practitioners managing pediatric periorbital swelling.
Main Methods:
- Literature review of infectious and noninfectious causes of swollen eye in children.
- Discussion of preseptal and orbital infectious processes.
- Analysis of noninfectious etiologies including trauma, tumor, edema, and allergy.
Main Results:
- Noninfectious causes include blunt trauma, tumor, local edema, and allergy.
- Infectious causes can be preseptal or orbital.
- A systematic approach is necessary for accurate diagnosis.
Conclusions:
- Effective management requires differentiating between infectious and noninfectious causes.
- Recognizing red flags for serious conditions is essential.
- This review aids practitioners in managing pediatric eye swelling effectively.
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