Search
orbital inflammation
Etiology:
- dacryoadenitis (1/3)
- myositis (1/3)
- orbital apex syndrome
- idiopathic
Epidemiology:
- mean age at presentation = 45 years
Clinical manifestations:
- pain & periorbital edema (70%)
- visual impairment can occur
- afferent pupillary defect
- extraocular eye movement disorder may be present
Differential diagnosis:
- allergic reaction
- orbital cellulitis (acute process)
- lymphoma (chronic process)
Management:
- refer to ophthalmologist
- glucocorticoids
- 50 mg PO QD tapered to 5 mg QD over 6 weeks [2,3]
- NSAIDs may be helpful
- other immunosuppressives may be needed
- radiation therapy has been used [2,3]
- surgical debulking [3]
Related
orbital cavity (orbit)
Specific
orbital cellulitis
General
inflammation
orbital disease
References
- Cockerham KP et al
Orbital inflammation.
Curr Neurol Neurosci Rep. 2003 Sep;3(5):401-9
PMID: 12914683
- Zborowska B et al
Idiopathic orbital inflammation with extraorbital extension:
case series and review
Eye (2006) 20, 107-113
http://www.nature.com/eye/journal/v20/n1/full/6701780a.html
- Ahn Yuen SJ and Rubin PAD
Idiopathic Orbital Inflammation:
Distribution, Clinical Features, and Treatment Outcome
Arch Ophthalmol. 2003;121:491-499
http://archopht.ama-assn.org/cgi/reprint/121/4/491.pdf