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What medical problems does the patient have and what meds does he take? When the lids are opened, can the patient see? How well? Does the eye move? Pupils react? What type of physician started the patient on steroids? Dx?
primary physician started steroids - no med problems - pupils do react eye moves but patient says he cannot open eye to see
There are a number of things that need to be excluded before rushing to steroids with severe periorbital/orbital swelling and I am sure that the primary care MD thought of them. At this point an evaluation by an ophthalmologist is indicated and, depending upon the clinical findings, an MRI of the orbit and lab work may necessary. Many, many things will respond to steroids initially and then recur.....some of these things are very bad, some not so bad -- the list is long and varied and I would suggest starting a complete workup today if possible.
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