A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case
Purpose: This case is a unique presentation of idiopathic orbital inflammation and 3rd nerve palsy (superior division involvement). Case report: A 30 years female patient presented with chief complaints of diplopia for two days and drooping of right upper eyelid for one day. Patient also complained...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.7869/djo.631 |
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| author | Rajeev Tuli Indu Dhiman |
| author_facet | Rajeev Tuli Indu Dhiman |
| author_sort | Rajeev Tuli |
| collection | DOAJ |
| description | Purpose:
This case is a unique presentation of idiopathic orbital inflammation and 3rd nerve palsy (superior division involvement).
Case report:
A 30 years female patient presented with chief complaints of diplopia for two days and drooping of right upper eyelid for one day. Patient also complained of ocular pain and headache for preceeding ten days. Considering the clinical presentation, a differential diagnosis of thyroid orbitopathy, ocular myasthenia, orbital neoplasm and idiopathic orbital inflammatory syndrome (IOIS) was considered. Laboratory investigations revealed nothing significant. MRI orbit was suggestive of IOIS. The patient was started on oral steroids and had a favorable outcome.
Conclusion:
Understanding of the clinical features of patients with IOIS, differentiating it from other clinical conditions and timely implementation of available treatment may help to prevent visual loss and other associated morbidity from this condition. |
| format | Article |
| id | doaj-art-386c74b62cb047fea4e7607f1dee33d1 |
| institution | OA Journals |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-386c74b62cb047fea4e7607f1dee33d12025-08-20T01:48:35ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-01-01313747610.7869/djo.631A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting CaseRajeev TuliIndu DhimanPurpose: This case is a unique presentation of idiopathic orbital inflammation and 3rd nerve palsy (superior division involvement). Case report: A 30 years female patient presented with chief complaints of diplopia for two days and drooping of right upper eyelid for one day. Patient also complained of ocular pain and headache for preceeding ten days. Considering the clinical presentation, a differential diagnosis of thyroid orbitopathy, ocular myasthenia, orbital neoplasm and idiopathic orbital inflammatory syndrome (IOIS) was considered. Laboratory investigations revealed nothing significant. MRI orbit was suggestive of IOIS. The patient was started on oral steroids and had a favorable outcome. Conclusion: Understanding of the clinical features of patients with IOIS, differentiating it from other clinical conditions and timely implementation of available treatment may help to prevent visual loss and other associated morbidity from this condition.https://journals.lww.com/10.7869/djo.631orbital pseudotumororbital myositisextraocular movements |
| spellingShingle | Rajeev Tuli Indu Dhiman A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case Delhi Journal of Ophthalmology orbital pseudotumor orbital myositis extraocular movements |
| title | A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case |
| title_full | A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case |
| title_fullStr | A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case |
| title_full_unstemmed | A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case |
| title_short | A Case of Idiopathic Orbital Inflammation And Third Nerve Palsy: Interesting Case |
| title_sort | case of idiopathic orbital inflammation and third nerve palsy interesting case |
| topic | orbital pseudotumor orbital myositis extraocular movements |
| url | https://journals.lww.com/10.7869/djo.631 |
| work_keys_str_mv | AT rajeevtuli acaseofidiopathicorbitalinflammationandthirdnervepalsyinterestingcase AT indudhiman acaseofidiopathicorbitalinflammationandthirdnervepalsyinterestingcase AT rajeevtuli caseofidiopathicorbitalinflammationandthirdnervepalsyinterestingcase AT indudhiman caseofidiopathicorbitalinflammationandthirdnervepalsyinterestingcase |