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Orbital Myositis: Evaluating Five New Cases Regarding Clinical and Radiological Features
Özlem Önder1, Rıfat Reha Bilgin1, Aslı Köşkderelioğlu1
1Clinic of Neurology, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.
Noro Psikiyatri Arsivi
|April 1, 2017
Summary
Orbital myositis (OM) is an inflammatory eye muscle condition. Early diagnosis and corticosteroid treatment are key for managing symptoms like pain and double vision, with most patients showing rapid improvement.
Area of Science:
- Ophthalmology
- Neurology
- Rheumatology
Background:
- Orbital myositis (OM) is an inflammatory disorder affecting extraocular muscles, presenting with symptoms such as periorbital pain, eyelid swelling, restricted eye movement, and strabismus.
- Two main forms exist: limited oligosymptomatic ocular myositis (LOOM) with conjunctival injection, and severe exophthalmic ocular myositis (SEOM) with ptosis, chemosis, and proptosis.
Observation:
- This report details five recent orbital myositis cases (three LOOM, two SEOM), noting initial symptoms of pain exacerbated by eye movement and double vision.
- The medial and lateral recti muscles were most frequently involved. One SEOM patient's pain was linked to Crohn's disease.
Findings:
- All patients received corticosteroids, leading to swift symptom resolution.
- Orbital MRI scans consistently showed muscle enlargement and contrast enhancement in affected individuals.
- One SEOM patient experienced a relapse, highlighting the potential for recurrence.
Implications:
- Orbital myositis requires increased clinical awareness for timely diagnosis, despite consistent clinical and radiological findings.
- Prompt corticosteroid therapy is effective in managing orbital myositis symptoms.
- Understanding OM's varied presentations is crucial for effective patient management and preventing diagnostic delays.