Differential Diagnosis for Upper Eyelid Swelling
Single Most Likely Diagnosis
- Blepharitis: This is an inflammation of the eyelids that can cause swelling, redness, and itching. It's a common condition and often the first consideration for eyelid swelling due to its high prevalence.
Other Likely Diagnoses
- Allergic Conjunctivitis: This condition occurs when the eyes react to an allergen, leading to symptoms like itching, redness, and swelling of the eyelids.
- Hordeolum (Stye): A localized infection or inflammation of the eyelid margin involving hair follicles of the eyelashes or meibomian glands, which can cause swelling, pain, and redness.
- Chalazion: A small bump on the eyelid due to a blocked oil gland, which can cause swelling and may become inflamed or infected.
Do Not Miss Diagnoses
- Orbital Cellulitis: A serious infection of the tissues surrounding the eye, which can cause eyelid swelling, pain, and vision changes. It requires prompt medical attention to prevent serious complications.
- Thyroid Ophthalmopathy: A condition associated with Graves' disease that can cause eyelid swelling, bulging eyes, and other eye symptoms. Early recognition is crucial for appropriate management.
- Basal Cell Carcinoma or Other Eyelid Tumors: Although rare, these can present with swelling and should not be missed due to their potential for serious consequences if left untreated.
Rare Diagnoses
- Angioedema: A rare condition characterized by rapid swelling of the skin and mucous membranes, which can affect the eyelids and is often associated with an allergic reaction or genetic predisposition.
- Wegener's Granulomatosis (Granulomatosis with Polyangiitis): A rare autoimmune disorder that can affect various parts of the body, including the eyes, and cause swelling among other symptoms.
- Sarcoidosis: A condition where inflammatory cells form lumps known as granulomas in various parts of the body, including the eyelids, leading to swelling and other symptoms.