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Idiopathic Orbital Pseudotumor: A Rare Case Report
1Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, SAU.
Cureus
|August 10, 2023
Summary
Orbital pseudotumor, a rare eye inflammation, presents with varied symptoms. Prompt diagnosis and corticosteroid treatment effectively manage this immune-mediated condition, leading to symptom relief.
Area of Science:
- Ophthalmology
- Immunology
Background:
- Orbital pseudotumor is a rare, idiopathic inflammatory condition affecting the eye's orbit.
- Its etiology is presumed to be immune-mediated, presenting with diverse clinical manifestations.
Observation:
- A 42-year-old male presented with a three-week history of left eye pain, swelling, and blurry vision.
- Clinical examination revealed eyelid edema, erythema, and anterior chamber inflammation. MRI showed orbital soft tissue enhancement, extraocular muscle thickening, and optic nerve involvement.
Findings:
- Elevated inflammatory markers supported the diagnosis.
- Treatment with oral corticosteroids resulted in significant symptom improvement and reduced inflammatory changes.
Implications:
- Orbital pseudotumor diagnosis necessitates a multidisciplinary approach combining clinical assessment, advanced imaging, and laboratory data.
- Early recognition and appropriate corticosteroid therapy are crucial for managing orbital pseudotumor and preventing vision loss.
