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Suspected orbital myositis associated with COVID-19
Blair K Armstrong1, Ann P Murchison1, Jurij R Bilyk1
1Oculoplastic and Orbital Surgery Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
Orbit (Amsterdam, Netherlands)
|August 17, 2021
Summary
A COVID-19 infection triggered orbital myositis in a patient, causing severe eye swelling and movement issues. Prompt treatment with corticosteroids effectively resolved the inflammation and symptoms.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Neurology
Background:
- Orbital myositis is an idiopathic inflammatory condition affecting extraocular muscles.
- COVID-19 has been associated with various neurological and ophthalmological complications.
- Early diagnosis and treatment are crucial for managing orbital inflammatory disorders.
Observation:
- A 44-year-old male presented with proptosis, eyelid edema, and erythema two days post-COVID-19 diagnosis.
- Symptoms progressed to complete ptosis and a supraduction deficit, unresponsive to antibiotics.
- Magnetic Resonance Imaging (MRI) revealed thickening and T2 enhancement of the superior rectus/levator complex.
Findings:
- MRI findings were consistent with orbital myositis.
- The patient showed significant improvement following treatment with intravenous corticosteroids.
- Continued gradual recovery was observed with oral steroid therapy.
Implications:
- This case highlights a potential ophthalmological manifestation of COVID-19.
- Orbital myositis should be considered in patients with acute orbital inflammation following SARS-CoV-2 infection.
- Corticosteroid therapy appears effective for managing COVID-19-associated orbital myositis.
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