Disorders of the adnexae of the eye are very common (preseptal cellulitis, ectropion and entropion, mild thyroid eye disease eye, etc.) and, if not severe, are largely dealt with in primary care, primary care ophthalmology, and general ophthalmic services.
Adnexal disease standards in this document apply to care of the common conditions at the severe end of the spectrum and of more serious or unusual conditions such as orbital and eye lid tumours, lacrimal surgery and major eyelid surgery which are more appropriately managed in a dedicated adnexal disease service.