Primary Care Liaison

Lid swelling

  • See resources for referral form, parent information and more.

    Initial findings and when to refer

    1: Evaluate for insect bite, skin rash or history of minor facial trauma.  If present:

    • Re-evaluate in 1 -2 days.
    • Do not refer unless swelling persists or increases or additional complications as below.

    2: Evaluate for temperature, malaise, lid tenderness, prominence of globe, limitation of eye movement and upper respiratory tract signs (including paranasal sinuses).  If present:

    • IMMEDIATE REFERRAL  for periorbital or orbital cellulitis.
    • Send child to the Emergency Department and contact the on-call ophthalmology registrar/fellow.
    • Please see the Periorbital & Orbital Cellulitis clinical practice guideline.

    Contact information

    RCH Switchboardtelephone (03) 9345 5522

    For clinical advice ask for:

    • Ophthalmology registrar or consultant on-call
      • Department of Ophthalmology - clinical advice (or direct dial 03 9345 5630)
      • Emergency Department - for clinical advice after hours
    For outpatient bookings fax to 03 9345 5034 (number also on referral form)
    • For urgent appointments also call 03 9345 6180

    Admission enquiries ask for:

    • General admission enquiries (or direct dial 03 9345 6172)
    • ED admission enquiries: (or direct dial 03 9345 6477)



    Paediatric Handbook (2009). Eye Conditions, Chapter 23 (pp357-368). James Elder and Peter Barnett. 8th Ed, Blackwell Publishing by the Staff of the Royal Children's Hospital, Melbourne. Australia.


    Please give feedback on this guideline - / telephone: (03) 9345 4645 / fax (03) 9345 4650

    Guideline developed by the RCH Department of Ophthalmology in consultation with a GP Review Group. Many thanks to the GPs involved in the review.  First published Dec 2007.  Reviewed August 2009. Please read  Copyright and Disclaimer.