Orbital Inflammation

From Anvita Health Wiki

Contents 1 Introduction 2 Epidemiology 3 Clinical-manifestations 4 Differential-diagnosis 5 Management 6 More General Terms 7 References

Introduction

• Eiology:
• 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]

More General Terms

• inflammation
• eye disease (ophthalmopathy)

References

1. Cockerham KP et al Orbital inflammation. Curr Neurol Neurosci Rep. 2003 Sep;3(5):401-9 PMID: [1]
2. Zborowska B et al Idiopathic orbital inflammation with extraorbital extension: case series and review Eye (2006) 20, 107-113 [2]
3. Ahn Yuen SJ and Rubin PAD Idiopathic Orbital Inflammation: Distribution, Clinical Features, and Treatment Outcome Arch Ophthalmol. 2003;121:491-499 [3]

orbital inflammation