Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Curr Opin Ophthalmol. 2012 Sep;23(5):405-14. doi: 10.1097/ICU.0b013e3283560ace.
Periorbital edema is a common problem that deserves scrutiny. Although a variety of healthcare providers may see this clinical entity, ophthalmologists are often consulted along the way toward diagnosis. It can challenge even the most astute clinicians. A diagnosis may reveal merely a bothersome issue or potentially a sight-threatening or life-threatening problem.
Comprehensive reviews on this topic are scarce. Textbooks are brief. There are, however, many studies in the scientific literature of notable cases of periorbital edema. The causes generally fall into the categories of infectious, inflammatory or tumors, medication related, and postsurgical or trauma.
This article synthesizes the current literature on the topic with a case series from our institution. It aims to provide a thorough resource for all practitioners to make the prospect of triaging, diagnosing, and treating periorbital edema less daunting.
眶周水肿是一种常见的问题，值得仔细研究。尽管各种医疗保健提供者都可能会看到这种临床病症，但眼科医生通常会在诊断过程中进行会诊。即使是最敏锐的临床医生也可能会面临挑战。一个诊断可能只是一个令人烦恼的问题，也可能是一个威胁视力或生命的潜在问题。
关于这个主题的综合评论很少。教科书也很简短。然而，在科学文献中有许多关于眶周水肿的显著病例的研究。其病因通常分为感染性、炎症性或肿瘤性、与药物相关以及手术后或创伤后。
本文综合了目前关于这一主题的文献，并结合我们机构的一系列病例。其目的是为所有从业者提供一个全面的资源，以便于对眶周水肿进行分诊、诊断和治疗，减轻其难度。
