A brief overview of conditions presenting with eyelid edema in modern and ayurvedic view.

1. अविनयमपनय
विष्णो....

2. E Y E L I D O E D E M A
Dr. ASWATHY KRISHNA. SGuided by,
Dr. K. V. Subhadra Antherjanam
Dr. Ashwini. B. N
Dr. K. Sivabalaji

3. CONTENTS
INTRODUCTION
BRIEF ANATOMY
COMMON OEDEMATOUS CONDITION OF EYELID
VARTMA SHOPHA
CONCLUSION
REFERENCES

4. A movable fold of skin and muscle that
can be closed over the eyeball or opened
at will. Each eye has an upper and a lower
lid; also known as a palpebra.

5. VARTMA
नयनगोलकािरकं ननमेषोन्मेषाश्रयंपटलद्ियं िर्तमम उच्यते|
(Ma.Ni.59/76)
द्िे िर्तममपटले विद्याच्चर्तिायमन्यानन चाक्षिणण |
जायते नतममरं येषु व्याध िः परमदारुणिः || (Su.U.1/17)

6. FUNCTIONS
• Provide physical protection to the eye .
• Prevent drying of the eyes.
• Ensuring normal tear film and drainage.
• Secrete the oily part of the tear film.

7. APPLIED ANATOMY
• Acts as shutters, protecting eyes from injuries and excessive
light.
• Also helps in spreading tear film over cornea and conjunctiva.
• Helps in drainage of tears.
• Parts – 2
Orbital
Tarsal

8. Ciliary part Lacrimal part
Punctum

10. GLANDS OF EYELID
2. Meibomian glands
4. Gland of Zeiss
3. Gland of Moll
1. Glands of Wolfring
1. Gland of Krause
Modified
sebaceous and
sweat glands
Accessory
lacrimal glands

12. Abnormal
position
Inflammation
Lumps
(masses)
Abnormalities of
the lashes
EYELID DISORDERS

13. Eyelid swelling usually results from eyelid disorders
but may result from disorders in and around the orbit
or from systemic disorders that cause generalized
oedema.

14. OEDEMATOUS CONDITIONS OF EYELID
• Common, because of the looseness of tissue
• 3 types Inflammatory
oedema
Passive
oedema
Solid
oedema

15. INFLAMMATORY OEDEMA
• Inflammation of lid – dermatitis, stye, chalazion, insect bites
• Conjunctiva – conjunctivitis
• Lacrimal sac – Dacryocystitis, lacrimal abscess
• Lacrimal gland – dacryoadenitis
• Eyeball – endophthalmitis, panophthalmitis
• Orbit – cellulitis, abscess
• PNS – maxillary sinusitis

16. Conjunctivitis
Endophthalmitis
Orbital
cellulitis
Maxillary
sinusitis

17. SOLID OEDEMA OF EYELID
• Chronic thickening of eyelids.
• Hard on palpation.

18. PASSIVE OEDEMA OF LIDS
Secondary oedema due to local or general causes
1. Local – head injury, angioneurotic oedema
2. General – renal failure, severe anaemia

19. ANGIO OEDEMA OF EYE
• Swelling of the lower layer of
skin and tissue just under the
skin or mucous membranes.
• May occur in the face,
tongue, larynx, abdomen, or
arms and legs.

20. COMMON CONDITIONS WITH
EYELID SWELLING
Blepharitis
Stye / External Hordeolum
Chalazion
Internal hordeolum
Dacryoadenitis
Dacryocystitis

21. BLEPHARITIS
• The inflammation of margin of eyelids
and lacrimal gland.
• SIGNS AND SYMPTOMS
-Crusting around the eyes.
-Tearing.
-Burning sensation
-Itching
-Foreign body sensation

22. CHALAZION
• Chronic non infective granulomatous
inflammation of Meibomian Gland
• Painless, firm swelling away from lid
margin
• Upper lid is more affected
• Associated congestion in Conjunctiva
• Mild heaviness of lids
• Mechanical ptosis

23. Acute suppurative inflammation of glands
of Zeiss and glands of Moll
• Acute pain
• Lid swelling
• Mild watering from eyes
STYE / EXTERNAL HORDEOLUM

24. DIFFERENTIAL
DIAGNOSIS

25. INTERNAL HORDEOLUM
• Suppurative inflammation of
Meibomian gland.
• PRIMARY – Staphylococcal infection
• SECONDARY – Infected chalazion
• Signs and symptoms same as Stye,
but away from lid margin.
• Intensity of pain is more

26. DACRYOADENITIS
• Inflammation of the lacrimal gland .
• Circumscribed mass in outer 1/3rd of
upper lid.
• Unilateral pain.
• Redness.

27. DACRYOCYSTITIS
• Inflammation of the lacrimal sac and duct .
• Pain, redness and swelling over the medial aspect of the lower eyelid
.
• May be associated with watering and fever.
• Mucoid or purulent discharge is seen when pressure is applied over
the lacrimal sac.

28. Orbital
cellulitis
Infection of the
soft tissues
within the orbit,
posterior to the
orbital septum,
due to spread
from local sinus
disease.
Red, swollen, tender
eyelid; extraocular
movements limited due
to pain or oedema; vision
changes, diplopia; in
children, fever and ill
appearance.
Preseptal
cellulitis
Infection of lid
tissues around
the orbit, often
with local skin
defect .
Red, swollen, tender
eyelid; full extraocular
movements; no vision
changes
LOCAL INFECTIONS

29. LID OEDEMA DUE TO
SUPERFICIAL SKIN
PATHOLOGIES
• Atopic dermatitis
• Capillary hemangioma
• Contact dermatitis

30. LID OEDEMA DUE TO MASS EFFECT
FROM THE ORBIT
• Autoimmune orbital mass effect
• Cavernous sinus thrombosis
• Endophthalmitis
• Orbital neoplasm

31. GENERAL EVALUATION OF LID OEDEMA
• Proper history taking
• Torch light examination
• Lid examination –eversion
• Slit lamp examination
• Examination of systemic
causes. (Lab investigations)
• CT
• MRI

33. शोफ IN
िर्तमम

34. OEDEMATOUS CONDITIONS IN
VARTMAGATA ROGA
Disease Vagbhata Susruta Treatment
कु म्भीक
कृ ष्णािः वपत्तेन
बह्वव्योऽन्तिमर्तमम
कु म्भीकबीजित ्
कु म्भीकबीजप्रनतमािः लेखन
लगण
ग्रनन्थिः पाण्डुररुक्पाकिः
कण्डूमान ्
कठिनिः कफात ्|
कोलमात्रिः
अपाकिः कठिनिः स्थूलो
ग्रनन्थिमर्तममभिोऽरुजिः |
सकण्डूिः वपनच्िलिः कोलप्र
माणो
भेदन

35. पोथकी
वपठटकािः श्वेत ाः
सर्षपभ
घनािः कफात ्
शोफोपदेहरुक्कण्डू
वपनच्िलाश्रुसमनन्ितािः
रक्तसर्षपसन्निभ ाः
वपडकाश्च रुजािर्तयिः
लेखन
उर्तसङ्धग रक्ता रक्तेन वपठटका
अभ्यन्तरमुखी बाह्वयोर्तस
ङ्गेऽ ो िर्तममनश्च या
लेखन
अञ्जननामम
का
मध्ये िा िर्तममनोऽन्ते
िा
कण्डूषारुग्िती
नस्थरा|
मुद्गमात्राऽसृजा ताम्रा
दाहतोदिती ताम्रा वपड
का,
मृद्िी मन्दरुजा सूक्ष्मा
भेदन
बबस िर्तमम
बठहिः शूनं यदन्तिः
सूक्ष्मखाधचतम्|
सस्रािमन्तरुदकं
बबसाभं
शूनं यद्िर्तमम बहुमभिः
सूक्ष्मैनश्िद्ैिः|
बबसमन्तजमल इि
भेदन

36. श्याि िर्तमम श्यािं रुक्क्लेदशोफित ्
बाह्वयतोऽन्तश्च श्यािं
शूनं सिेदनम ् |
दाहकण्डूपररक्लेठद
नश्लष्ट िर्तमम
नश्लष्टे
कण्डूश्ियथुराधगणी
लेख
न
कु कू णक
मशशुरुच्रनताम्रािो
िीिणािमिः
मृद्गानत नेत्रमनतकण्डुमथाक्षिकू टं
नासाललाटमवप तेन मशशुिः स
ननर्तयम् ||
सूयमप्रभां न सहते स्रिनत
प्रबद् ं,
लेख
न
पक्ष्मोपरो
कण्टकै ररि
तीक्ष्णाग्रैघृमष्टं तैरक्षि
शूयते

37. OTHER OEDEMATOUS CONDITIONS
OF EYELID
V.ABHISYANDA
ऽल्पशोफता|
शङ्खाक्षिभ्रूललाटस्य
तोदस्फु रणभेदनम्
ANYATOVATA यथां तीव्रामपैनच्िल्यरागशोफं
विलोचनम्
P.ABHISYANDA दाहो ूमायनं शोफिः श्यािता
िर्तममनो बठहिः
K,ABHISYANDA जाड्यं शोफो महान ्
R.ABHISYANDA सवपत्तस्यन्दलिणम्

38. MANAGEMENT OF NETRA SOPHA
SEKAM ASCHOTANA
M
PINDI

39. BIDALAKAM
JALAUKA
AVACHARANAM
AVAGUNDANAM

40. BEFORE
AFTER

41. CONCLUSION
• The differential diagnosis of eyelid oedema is extensive but knowledge
of the key features of several potential causes can assist physicians in
diagnosing this condition.
• Systemic disorders such as myxoedema, renal diseases, and superior
vena cava syndrome may manifest with peri-orbital oedema.
• So particular attention must be paid to visual clues, exposures and
other historical factors in the work-up of patients with eyelid oedema.

42. REFERENCES
Parson’s diseases of eye.
Textbook of ophthalmology, A. K. Khurana.
Ashtanga Hridayam
Susrutha Samhitha
Madhava Nidanam
Sarngadhara Samhitha
Differential diagnosis of swollen red eyelid, Art Papier & David. J.
Tuttle