DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194338

Pseudotumor orbit-bilateral v/s unilateral: a case study of two orbital pseudotumor cases

Sunanda Nandi, Jawahar Jyoti Kuli

Abstract


Orbital pseudotumor is a non-granulomatous inflammation of orbital soft tissue for unknown etiology. In the first case, a 35-year-old female presented with bilateral painless upper eyelid swelling since 3years.No proptosis, no extra ocular movements restriction of both eyes was noted. Best corrected visual acuity both eye: 6/6, N6. USG B-Scan and CECT revealed bilateral lacrimal gland enlargement with bulky muscles and tendons. USG guided FNAC confirmed pseudotumor which showed prompt response to steroids but recurred after 1month of stopping of steroid therapy. In the second Case, a 15year old female presented with unilateral proptosis left eye for 3 months with painful extraocular movements and restricted in all gazes. Best corrected visual acuity in L/E - 6/12, N6, R/E-6/9, N6. USG B-scan and CECT revealed soft tissue lesion encasing Optic nerve. CEMR revealed bulky lacrimal gland, muscles and lesion extending up to orbital apex. Prompt response to steroid with no recurrence till date.


Keywords


Bilateral, Extraocular movements, Lacrimal gland, Orbital Pseudotumor, Recurrence

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References


Ding ZX, Lip G, Chong V. Idiopathic orbital pseudo tumour. Clin Radiol. 2011;66(9):886-92.

Chaudhry IA, Shamsi FA, Arat YO, Riley FC. Orbital pseudotumor: distinct diagnostic features and management. Middle East Afr J Ophthalmol. 2008;15(1):17.

Szabo B, Szabo I, Crişan D, Stefănuţ C. Idiopathic orbital inflammatory pseudotumor: case report and review of the literature. Rom J Morphol Embryol. 2011;52(3):927-30.

Espinoza GM. Orbital inflammatory pseudo tumors: etiology, differential diagnosis, and management. Current rheumatology reports. 2010;12(6):443-7.

Mendenhall WM, Lessner AM. Orbital pseudotumor. Am J Clin Oncol. 2010;33(3):304-6.

Sarkar S. Bilateral Idiopathic Orbital Inflammation Syndrome in an adult patient: A rare case report. Saudi J Ophthalmol. 2018;32(4):343-7.

Yuen SJ, Rubin PA. Idiopathic orbital inflammation: distribution, clinical features, and treatment outcome. Arch Ophthalmol. 2003;121(4):491-9.

Sergott RC, Glaser JS, Charyulu K. Radiotherapy for idiopathic inflammatory orbital pseudotumor: indications and results. Arch Ophthalmol. 1981;99(5):853-6.

Mombaerts I, Goldschmeding R, Schlingemann RO, Koornneef L. What is orbital pseudotumor?. Survey of ophthalmology. 1996;41(1):66-78.

Atlas SW, Grossman RI, Savino PJ, Sergott RC, Schatz NJ, Bosley TM, Hackney DB, Goldberg HI, Bilaniuk LT, Zimmerman RA. Surface-coil MR of orbital pseudotumor. Am J Roentgenol. 1987;148(4):803-8.

Nugent RA, Rootman J, Robertson WD, Lapointe JS, Harrison PB. Acute orbital pseudotumors: classification and CT features. Am J Roentgenol. 1981;137(5):957-62.

Yeşiltaş YS, Gündüz AK. Idiopathic orbital inflammation: review of literature and new advances. Middle East African journal of ophthalmology. 2018;25(2):71.

Jacobs D, Galetta S. Diagnosis and management of orbital pseudotumor. Current opinion in ophthalmology. 2002;13(6):347-51.