Delhi Journal of Ophthalmology

A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case

Rajeev Tuli,  Indu Dhiman
Dr. Rajendra Prasad Government Medical College Kangra At Tanda( Himachal Pradesh) India.

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Indu Dhiman 
Senior Resident
Ophthalmology, Dr. Rajendra Prasad Government Medical College Kangra Tanda (Himachal Pradesh) India
Email: drindudhiman@gmail.com


Received: 24-MAR-2020 Accepted: 23-JUL-2020 Published Online: 12-MAR-2021
DOI: https://dx.doi.org/10.7869/djo.631

Abstract
Purpose: This case is a unique presentation of idiopathic orbital inflammation and 3rd nerve palsy (superior division involvement).

Case Report: A 30 years female patient presented with chief complaints of diplopia for two days and drooping of right upper eyelid for one day. Patient also complained of ocular pain and headache for preceeding ten days. Considering the clinical presentation, a differential diagnosis of thyroid orbitopathy, ocular myasthenia, orbital neoplasm and idiopathic orbital inflammatory syndrome (IOIS) was considered. Laboratory investigations revealed nothing significant. MRI orbit was suggestive of IOIS. The patient was started on oral steroids and had a favorable outcome.

Conclusion: Understanding of the clinical features of patients with IOIS, differentiating it from other clinical conditions and timely implementation of available treatment may help to prevent visual loss and other associated morbidity from this condition.

Keywords :Orbital pseudotumor, Orbital myositis, extraocular movements

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