Abstract
The understanding of ‘pseudotumors’ has significantly changed with the advent of modern imaging techniques by which the tissues affected in the orbit can be identified, and nonspecific orbital inflammatory disease is classified according to the tissue involved. Twenty cases of nonspecific orbital inflammatory diseases were treated between July 1987 and September 1991. Eight patients had myositis, 6 had diffuse disease, 2 each had dacryoadenitis, periscleritis and perineuritis. Involvement of all four recti in one patient and isolated superior rectus and superior oblique each in 2 others are the unusual forms of myositis. Perineuritis presented as diffuse thickening of the optic nerve on CT scan with disc edema and normal vision in both patients with external ophthalmoplegia in one of them. All patients responded to oral steroids while the patient with myositis of all four recti required radiotherapy in addition. This series documents the spectrum of clinical presentation, diagnosis and management of nonspecific orbital inflammatory disease.
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References
Kennerdell JS, Dresner SC. The nonspecific orbital inflammatory syndrome. Surv Ophthalmol 1984; 29: 93–103.
Birch-Hirschfeld A. Zur Diagnostik und Pathologie der Orbitaltumoren. Ber Dtsch Ophthal Ges 1905; 32: 127–35.
Rootman J, Nuget R. The classifications and management of acute orbital pseudotumors. Ophthalmology 1982; 89: 1040–48.
Trokel SL, Hilal SK. Submillimeter resolution CT scanning of orbital disease. Ophthalmology 1980; 87: 412–17.
Roth A. Acute and chronic orbital myositis. Klin Monatsbl Augenheilkd 1985; 186: 450–52.
Bullen CL, Younge BR. Chronic orbital myositis. Arch Ophthalmol 1982; 100: 1261–65.
Slavin ML, Glaser JS. Indiopathic orbital myositis: Report of six cases. Arch Ophthalmol 1982; 100: 1261–65.
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Sekhar, G.C., Mandal, A.K. & Vyas, P. Non specific orbital inflammatory diseases. Doc Ophthalmol 84, 155–170 (1993). https://doi.org/10.1007/BF01206250
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DOI: https://doi.org/10.1007/BF01206250