Open AccessA rare case of idiopathic orbital inflammatory syndrome
Author(s) -
Ajit Kamalakar Joshi,
Wilson Desai,
Sakshi Patil,
Asmita Devre
Publication year - 2015
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.169936
Subject(s) - medicine , ptosis , exophthalmos , magnetic resonance imaging , presentation (obstetrics) , differential diagnosis , orbital cellulitis , biopsy , radiology , dermatology , pathology , surgery , cellulitis
A 65-year-old woman presented with swelling and pain at the superomedial aspect of the right eye that was associated with proptosis, ptosis and restriction of eye movements superiorly and medially since 1 month. Considering the age and clinical presentation of the patient, a differential diagnosis of orbital cellulitis, thyroid orbitopathy, ocular myasthenia, orbital neoplasm, lymphoproliferative disorder and idiopathic orbital inflammatory syndrome (IOIS) was considered. Relevant laboratory investigations were performed, which were normal. Computed tomography, magnetic resonance imaging and biopsy were suggestive of IOIS. The patient was started on oral steroids and had a favorable outcome