DOI: 10.1001/jamaophthalmol.2026.3037 ISSN: 2168-6165
Progressive Asymmetric Bilateral Violaceous Periorbital Edema
Lynchel M. Brumaire, Jodi Sassoon, Lalita GuptaA 66-year-old man had worsening bilateral periorbital erythema and edema for 1 month, greater on the right side. Examination showed 20/40 visual acuity with glasses in each eye, otherwise normal ocular findings, and right-sided induration and violaceous discoloration extending from the forehead to the cheek and involving both eyelids. What is your diagnosis?