A. Bilateral periorbital edema. Marked edema of the upper eyelids, left worse than right, noted on initial ophthalmologic exam.

A. Bilateral periorbital edema. Marked edema of the upper eyelids, left worse than right, noted on initial ophthalmologic exam.

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Purpose To describe a case of severe, bilateral periorbital edema after hematopoietic stem cell transplantation. Observations A three-year old girl with metastatic neuroblastoma underwent the second of two tandem autologous peripheral blood stem cell transplants, complicated by engraftment syndrome. On post-engraftment day 11, she developed acute...

Context in source publication

Context 1
... examination the patient had severe eyelid edema, more pronounced on the left side ( Fig. 2A). The swelling involved the upper eyelids more than the lower eyelids. There was mild erythema, but no discharge or fluctuance. With effort the child could open the palpebral fissures a few millimeters. She was able to fixate and track a small target with each eye. The extraocular eye movements were full. Ocular alignment was ...