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Lid Swelling or Involvement

ConditionHow SoonAdditional Information
Pre-septal cellulitisUrgentNeed not be referred.Could be managed in community
Orbital cellulitisEmergency See section on orbital cellulitis
Dacrocystitis UrgentSee section on dacrocystitis
Herpes Zoster OphthalmicusUrgentNeed not refer unless eye is involved (red, painful, decreased vision).
Ectropion, entropionRoutineRoutine plastics clinicRefer if patients would consider surgical treatment
Suspected SCC/BCC Urgent 
Chalazion/cystRoutineNeed not be referred unless recurrent/not resolving and patient would consider surgery.Regular lid hygiene measures as initial management