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[Bilateral idiopathic orbital myositis].

N El Ouafi1, M A Rafai, H Fadel

  • 1Unité de Radiologie, Hôpital Mohammed V, Tanger, Maroc.

Revue Neurologique
|July 15, 2006
PubMed
Summary

Orbital myositis, an inflammation of eye muscles, is typically unilateral. This case highlights a rare bilateral presentation successfully treated with corticosteroids.

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Orbital myositis is idiopathic inflammation of extraocular muscles, often classified under orbital pseudotumor.
  • It typically presents as a unilateral condition affecting eye movement.

Observation:

  • A 45-year-old woman experienced diplopia and acute bilateral orbital pain.
  • Neurological and thyroid function tests were normal; CT revealed bilateral medial and lateral rectus muscle enlargement.

Findings:

  • The patient showed rapid clinical improvement following oral corticosteroid administration.
  • This suggests corticosteroids are effective for bilateral orbital myositis.

Implications:

  • Bilateral orbital myositis is exceptional and warrants investigation for underlying causes like thyroid ophthalmopathy.
  • Corticosteroids remain a primary treatment choice for orbital myositis, offering good outcomes.

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