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Idiopathic Granulomatous Orbital Inflammation with Right Frontal Nerve Involvement: A Case Report
James Pietris1,2, Jessica Y Tong3,4, Dinesh Selva3,4
1University of Queensland, Herston, QLD, Australia.
Introduction:
Idiopathic granulomatous orbital inflammation is a rare subtype of orbital inflammatory disease, and frontal nerve involvement has not been previously described.
Case Presentation:
This is a case of a 75-year-old female who presented with a 4-week history of a right orbital mass, scalp dysaesthesia, and ptosis. Magnetic resonance imaging of the orbits confirmed a right supraorbital mass originating from the lacrimal gland with frontal nerve enlargement. Biopsy showed non-caseating granulomatous inflammation.
Conclusion:
The patient was treated with an intralesional triamcinolone injection and oral prednisolone and will continue to be monitored for development of systemic sarcoidosis.

