{"id":4090,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/lidswellingorinvolvement\/"},"modified":"2026-01-28T12:24:00","modified_gmt":"2026-01-28T12:24:00","slug":"lidswellingorinvolvement","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ophthalmology\/lidswellingorinvolvement\/","title":{"rendered":"Lid Swelling or Involvement"},"content":{"rendered":"\n<figure class=\"wp-block-table is-style-regular\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Condition<\/strong><\/td><td>\u200b<strong>How Soon<\/strong><\/td><td>\u200b<strong>Additional Information<\/strong><\/td><\/tr><tr><td>Pre-septal cellulitis<\/td><td>Urgent<\/td><td>Need not be referred.Could be managed in community<\/td><\/tr><tr><td>Orbital cellulitis<\/td><td>Emergency  <\/td><td>See section on orbital cellulitis<\/td><\/tr><tr><td>Dacrocystitis&nbsp;<\/td><td>Urgent<\/td><td>See section on dacrocystitis<\/td><\/tr><tr><td>Herpes Zoster Ophthalmicus<\/td><td>Urgent<\/td><td>Need not refer unless eye is involved (red, painful, decreased vision).<\/td><\/tr><tr><td>Ectropion, entropion<\/td><td>Routine<\/td><td>Routine plastics clinicRefer if patients would consider surgical treatment<\/td><\/tr><tr><td>Suspected SCC\/BCC&nbsp;<\/td><td>Urgent<\/td><td>&nbsp;<\/td><\/tr><tr><td>Chalazion\/cyst<\/td><td>Routine<\/td><td>Need not be referred unless recurrent\/not resolving and patient would consider surgery.Regular lid hygiene measures as initial management<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>JC &amp; BC 28\/1\/26<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Condition &#8203;How Soon &#8203;Additional Information Pre-septal cellulitis Urgent Need not be referred.Could be managed in community Orbital cellulitis Emergency See section on orbital cellulitis Dacrocystitis&nbsp; Urgent See section on dacrocystitis Herpes Zoster Ophthalmicus Urgent Need not refer unless eye is involved (red, painful, decreased vision). Ectropion, entropion Routine Routine plastics clinicRefer if patients would consider<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4212,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[478],"class_list":["post-4090","page","type-page","status-publish","hentry","category-lidswellingorinvolvement"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/ophthalmology\/lidswellingorinvolvement\/\" rel=\"tag\">Lid Swelling or Involvement<\/a>","rttpg_excerpt":"Condition &#8203;How Soon &#8203;Additional Information Pre-septal cellulitis Urgent Need not be referred.Could be managed in community Orbital cellulitis Emergency See section on orbital cellulitis Dacrocystitis&nbsp; Urgent See section on dacrocystitis Herpes Zoster Ophthalmicus Urgent Need not refer unless eye is involved (red, painful, decreased vision). Ectropion, entropion Routine Routine plastics clinicRefer if patients would consider","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4090","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4090"}],"version-history":[{"count":10,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4090\/revisions"}],"predecessor-version":[{"id":26387,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4090\/revisions\/26387"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4212"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4090"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}