Volume 20, Number 3 (Scientific Journal of Hamadan University of Medical Sciences-Autumn 2013)                   Sci J Hamadan Univ Med Sci 2013, 20(3): 256-259 | Back to browse issues page


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Ayatollahi J, Ayatollahi A, Ayatollahi J. A Typical Presentation of Orbital Pseudotumor Mimicking Orbital Cellulitis. Sci J Hamadan Univ Med Sci . 2013; 20 (3) :256-259
URL: http://sjh.umsha.ac.ir/article-1-132-en.html

Ophthalmologist, Ophthalmology Ward, Imam Sadegh Hospital , Meybod, Iran. , dr_ayatollahi@yahoo.com
Abstract:   (797 Views)

Introduction: Orbital pseudotumor, also known as idiopathic orbital inflammatory syndrome (IOIS), is a benign, non- infective inflammatory condition of the orbit without identifiable local or systemic causes. The disease may mimics a variety of pathologic conditions. We present a case of pseudotumor observed in a patient admitted under the name of orbital cellulities.

Case Report: A 26-year-old woman reffered to our hospital with the history of left ocular pain and headache 2 days before her visit.. Ophthalmological examination of the patient was normal except for the redness and lid edema, mild chemosis and conjunctival injection. General assessment was normal but a low grade fever was observed. She was hospitalized as an orbital cellulitis patient. She was treated with intravenous antibiotics. On the third day , sud-denly diplopia, proptosis in her left eye and ocular pain in her right side appeared. MRI re-vealed bilateral enlargement of extraocular muscles. Diagnosis of orbital pseudotumor was made and the patient was treated with oral steroid.She responded promptly to the treatment. Antibiotics were discontinued and steroid was tapered in one month period under close follow up.

Conclusion: The clinical features of orbital pseudotumor vary widely . Orbital pseudotumor and orbital cellulitis can occasionally demonstrate overlapping features.. Despite complete physical examination and appropriate imaging, sometimes correct diagnosis of the disease would be difficult 

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Type of Study: Case Report | Subject: Special

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