Eyelid Edema: A Rare Cause of a Common Sign

We report a 48-year-old female patient who presented to the emergency room with right eyelid edema, with 3 days of evolution. She had suffered minor trauma to this eye one week before. She reported episodes of right eyelid swelling of spontaneous resolution since the occurrence of a traumatic brain...

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Main Authors: Andreia Soares, Cristina Almeida, Cristina Freitas, Marco Sales-Sanz, Sara Ribeiro
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2017/9193706
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author Andreia Soares
Cristina Almeida
Cristina Freitas
Marco Sales-Sanz
Sara Ribeiro
author_facet Andreia Soares
Cristina Almeida
Cristina Freitas
Marco Sales-Sanz
Sara Ribeiro
author_sort Andreia Soares
collection DOAJ
description We report a 48-year-old female patient who presented to the emergency room with right eyelid edema, with 3 days of evolution. She had suffered minor trauma to this eye one week before. She reported episodes of right eyelid swelling of spontaneous resolution since the occurrence of a traumatic brain injury 5 years ago. Ophthalmological examination showed a soft and painless eyelid edema of the right eye. Brain computed tomography showed an area of bone discontinuity of the orbital roof with brain herniation and a CSF leak into the eyelid (blepharocele). Magnetic resonance confirmed the result of TC and revealed an area of frontal encephalomalacia. Ibuprofen (800 mg/day) was prescribed, with complete resolution within 20 days. She was evaluated by Neurosurgery with no indication of surgery due to the resolution of the edema and absence of symptoms. Blepharocele is a rare entity that should be considered in the differential diagnosis of unilateral eyelid edema. It can be secondary to an orbital fracture or congenital lesion.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-a533fd40a7b14b7d8f4bfa212be4fa1a2025-02-03T01:03:21ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302017-01-01201710.1155/2017/91937069193706Eyelid Edema: A Rare Cause of a Common SignAndreia Soares0Cristina Almeida1Cristina Freitas2Marco Sales-Sanz3Sara Ribeiro4Hospital de Braga, School of Medicine, University of Minho, Braga, PortugalHospital de Braga, School of Medicine, University of Minho, Braga, PortugalHospital de Braga, School of Medicine, University of Minho, Braga, PortugalOphthalmology Department, Hospital Universitario Ramón y Cajal, Madrid, SpainHospital de Braga, School of Medicine, University of Minho, Braga, PortugalWe report a 48-year-old female patient who presented to the emergency room with right eyelid edema, with 3 days of evolution. She had suffered minor trauma to this eye one week before. She reported episodes of right eyelid swelling of spontaneous resolution since the occurrence of a traumatic brain injury 5 years ago. Ophthalmological examination showed a soft and painless eyelid edema of the right eye. Brain computed tomography showed an area of bone discontinuity of the orbital roof with brain herniation and a CSF leak into the eyelid (blepharocele). Magnetic resonance confirmed the result of TC and revealed an area of frontal encephalomalacia. Ibuprofen (800 mg/day) was prescribed, with complete resolution within 20 days. She was evaluated by Neurosurgery with no indication of surgery due to the resolution of the edema and absence of symptoms. Blepharocele is a rare entity that should be considered in the differential diagnosis of unilateral eyelid edema. It can be secondary to an orbital fracture or congenital lesion.http://dx.doi.org/10.1155/2017/9193706
spellingShingle Andreia Soares
Cristina Almeida
Cristina Freitas
Marco Sales-Sanz
Sara Ribeiro
Eyelid Edema: A Rare Cause of a Common Sign
Case Reports in Ophthalmological Medicine
title Eyelid Edema: A Rare Cause of a Common Sign
title_full Eyelid Edema: A Rare Cause of a Common Sign
title_fullStr Eyelid Edema: A Rare Cause of a Common Sign
title_full_unstemmed Eyelid Edema: A Rare Cause of a Common Sign
title_short Eyelid Edema: A Rare Cause of a Common Sign
title_sort eyelid edema a rare cause of a common sign
url http://dx.doi.org/10.1155/2017/9193706
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