orbital inflammation
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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
- NSAIDs may be helpful
- other immunosuppressives may be needed
- radiation therapy has been used[2][3]
- surgical debulking[3]
More general terms
More specific terms
Additional terms
References
- ↑ Cockerham KP et al Orbital inflammation. Curr Neurol Neurosci Rep. 2003 Sep;3(5):401-9 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12914683
- ↑ 2.0 2.1 2.2 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
- ↑ 3.0 3.1 3.2 3.3 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