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Orbital pseudotumour presenting as orbital cellulitis

Published online by Cambridge University Press:  21 May 2015

Jack Anderson  and
Tamara Thomas
Jack Anderson
Affiliation:
Department of Emergency Medicine, Loma Linda University, Loma Linda, Calif.
Tamara Thomas*
Affiliation:
Department of Emergency Medicine, Loma Linda University, Loma Linda, Calif.
*
Loma Linda University, Department of Emergency Medicine, 11234 Anderson St., Rm. A108, Loma Linda CA 92354; 909 558-4344, fax 909 558-0121, TThomas@ahs.llumc.edu

Abstract

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A 33-year-old woman presented to a community emergency department with a 4-day history of monocular orbital pain, photophobia and pain on extraocular movement. Findings included chemosis, conjunctival injection and restricted extraocular movements causing strabismus. She was diagnosed with orbital cellulitis during her initial emergency department visit and treated with intravenous antibiotics. On her second ED visit later the same day, a diagnosis of orbital pseudotumour was made after computed tomography revealed inflammation of the sclera, optic nerve, muscle and adipose tissue within the orbit. Antibiotics were discontinued and tapering steroids were initiated, with prompt resolution of symptoms.

Keywords

eyeorbitalpseudotumoreye swellingvisual change
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 8 , Issue 2 , March 2006 , pp. 123 - 125
Copyright
Copyright © Canadian Association of Emergency Physicians 2006

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