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Related Experiment Videos

Unilateral enophthalmos in systemic scleroderma.

P A Kirkali1, T Kansu, A S Sanac

  • 1Neuro-ophthalmology Unit, Hacettepe University, Ankara, Turkey.

Journal of Clinical Neuro-Ophthalmology
|March 1, 1991
PubMed
Summary
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Systemic scleroderma can cause unilateral enophthalmos due to orbital fat atrophy, a complication previously unassociated with this condition. This finding expands the known ocular manifestations of systemic scleroderma.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Dermatology

Background:

  • Systemic scleroderma is a connective tissue disease with diverse clinical manifestations.
  • Orbital fat atrophy is a known complication of localized scleroderma, but not previously reported in systemic scleroderma.

Observation:

  • A case of systemic scleroderma presenting with unilateral enophthalmos is described.
  • The patient exhibited clinical signs suggestive of orbital volume loss.

Findings:

  • Computerized tomography (CT) confirmed orbital fat atrophy as the cause of enophthalmos.
  • This represents a novel association between systemic scleroderma and orbital fat atrophy.

Implications:

  • The findings suggest that orbital fat atrophy should be considered in the differential diagnosis of enophthalmos in patients with systemic scleroderma.

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  • This case broadens the understanding of potential ocular complications in systemic scleroderma, necessitating careful ophthalmic evaluation.