Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-23T00:14:25.464Z Has data issue: false hasContentIssue false
  • English
  • Français

Orbital pseudotumour presenting as orbital cellulitis

Published online by Cambridge University Press:  21 May 2015

Jack Anderson  and
Tamara Thomas
Jack Anderson
Affiliation:
Department of Emergency Medicine, Loma Linda University, Loma Linda, Calif.
Tamara Thomas*
Affiliation:
Department of Emergency Medicine, Loma Linda University, Loma Linda, Calif.
*
Loma Linda University, Department of Emergency Medicine, 11234 Anderson St., Rm. A108, Loma Linda CA 92354; 909 558-4344, fax 909 558-0121, [email protected]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A 33-year-old woman presented to a community emergency department with a 4-day history of monocular orbital pain, photophobia and pain on extraocular movement. Findings included chemosis, conjunctival injection and restricted extraocular movements causing strabismus. She was diagnosed with orbital cellulitis during her initial emergency department visit and treated with intravenous antibiotics. On her second ED visit later the same day, a diagnosis of orbital pseudotumour was made after computed tomography revealed inflammation of the sclera, optic nerve, muscle and adipose tissue within the orbit. Antibiotics were discontinued and tapering steroids were initiated, with prompt resolution of symptoms.

Keywords

eyeorbitalpseudotumoreye swellingvisual change
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 8 , Issue 2 , March 2006 , pp. 123 - 125
Copyright
Copyright © Canadian Association of Emergency Physicians 2006

References

1.Yanoff, M, Duker, JS. Ophthalmology. 1st ed. London: Mosby; 1999. p. 1412.Google Scholar
2.Phillips, PH. The orbit. Ophthalmol Clin North Am 2001;14:109–27.Google ScholarPubMed
3.Yuen, SJ, Rubin, PA. Idiopathic orbital inflammation: ocular mechanism and clinicopathology. Ophthalmol Clin North Am 2002;15:121–6.Google ScholarPubMed
4.Weber, AL, Romo, LV, Sabates, NR. Pseudotumor of the orbit: clinical, pathologic, and radiologic evaluation. Radiol Clin North Am 1999;37:151–68.Google Scholar
5.Li, JT, Garrity, JA, Kephart, GM, et al. Refractory periorbital edema in a 29-year-old man. Ann Allergy 1992;69:101–5.Google Scholar
6.Lee, JY, Kim, KD, Hwang, EH, et al. Inflammatory orbital pseudotumor with infratemporal fossa extension mimicking temporomandibular joint dysfunction. Dentomaxillofac Radiol 2002;31:147–50.Google Scholar
7.Sirbaugh, P. A case of orbital pseudotumor masquerading as orbital cellulitis in a patient with proptosis and fever. Pediatr Emerg Care 1997;13:337–9.CrossRefGoogle Scholar
8.Jacobs, D, Galetta, S. Diagnosis and management of orbital pseudotumor. Current Opin Ophthal 2002;13:347–51.CrossRefGoogle ScholarPubMed