A Case of Nonspecific Orbital Inflammation in Anophthalmia.
- Author:
Hyung Kyu PARK
1
;
Hyo Shin HA
;
Jae Chan KIM
Author Information
1. Department of Ophthalmology, College of Medicine, Chung-Ang University, Seoul, Korea. jck50ey@kornet.net
- Publication Type:Case Report
- Keywords:
Anophthalmic socket;
Necrotizing scleritis;
Orbital pseudotumor
- MeSH:
Aged;
Anophthalmos*;
Betamethasone;
Diagnosis;
Exophthalmos;
Female;
Humans;
Inflammation*;
Magnetic Resonance Imaging;
Orbit*;
Orbital Pseudotumor;
Scleritis
- From:Journal of the Korean Ophthalmological Society
2006;47(7):1149-1154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of orbital pseudotumor developed in an anophthalmic socket, presenting no typical symptoms or signs. METHODS: A 67-year-old woman was referred for treatment of necrotizing scleritis of her left eye and painful orbital pseudotumor of her right eye. The right eye had been removed 10 years previously. There was an irregular mass in superomedial portion of anterior orbit. Orbital MRI showed poorly defined T1 iso and low T2 signal intensity of a lesion in the medial anterior portion of the right orbit. Because systemic steroid administration was limited, 2 mg of betamethasone was injected locally, after which the size of the lesion was decreased and the orbital pain improved. CONCLUSIONS: The diagnosis of an orbital pseudotumor developed in an anophthalmic socket may be difficult because of the lack of typical eyeball-related signs or symptoms such as proptosis, red eye, or decreased vision. But, the easy access to the lesion can provide early and effective treatment through direct injection of glucocorticoid.
