Differential Diagnosis for Eye Hemorrhoid on the Left Upper Eyelid
- Single most likely diagnosis
- Subconjunctival hemorrhage: This is the most likely diagnosis, as it is a common and benign condition characterized by bleeding underneath the conjunctiva, often appearing as a red spot or patch on the white part of the eye or underside of the eyelid. It can be caused by straining, coughing, or rubbing the eye.
- Other Likely diagnoses
- Conjunctivitis: This is an inflammation or infection of the outer membrane of the eyeball and the inner eyelid, which can cause redness, itching, and discharge. It may be accompanied by a hemorrhage.
- Chalazion or hordeolum (stye): A chalazion is a small bump on the eyelid due to a blocked oil gland, while a hordeolum is an infection of an oil gland or hair follicle. Both can cause redness, swelling, and sometimes bleeding.
- Eyelid varix: This is an abnormally dilated vein on the eyelid, which can cause a blue or red discoloration and may bleed.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Orbital cellulitis: A serious infection of the tissues surrounding the eye, which can cause redness, swelling, and vision changes. It requires prompt medical attention to prevent serious complications.
- Basal cell carcinoma or other eyelid tumors: Although rare, these can cause bleeding and should be considered in the differential diagnosis to ensure timely treatment.
- Rare diagnoses
- Amyloidosis: A condition characterized by the deposition of abnormal proteins in various tissues, including the eyelid, which can cause bleeding and other symptoms.
- Sjögren's syndrome: An autoimmune disorder that can cause dry eyes, inflammation, and potentially bleeding in the eyes.
- Vascular malformations (e.g., arteriovenous malformation): Abnormal connections between blood vessels that can cause bleeding and other symptoms.