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Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses.

Publication ,  Journal Article
Proia, AD; McCall, CM; Kim, JS; Leyngold, IM
Published in: Surv Ophthalmol
2019

Idiopathic orbital inflammation developed in the right orbit of a woman in her mid-thirties, causing tearing, photophobia, diplopia, altered depth perception, proptosis, and pain on eye movements. Computed tomography disclosed a mass involving the intraconal and extraconal nasal right orbit, extending to the orbital apex with anterior displacement of the globe, effacement of the medial rectus muscle, portions of the fat plane, and the superior oblique muscle, and bone destruction with extension of the mass through the orbital floor into the superior maxillary sinus and through the lamina papyracea into the ethmoid sinus. Orbital biopsy disclosed dense fibrous connective tissue with numerous lymphocytes and macrophages. Immunohistochemical stains supported a diagnosis of idiopathic inflammatory pseudotumor involving the orbit and sinus mucosa. Treatment with a prednisone taper and a retrobulbar injection of triamcinolone acetonide have relieved her symptoms and diminished her proptosis. This patient highlights the rare potential of idiopathic orbital inflammation to erode though bone into adjacent cranial structures.

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Published In

Surv Ophthalmol

DOI

EISSN

1879-3304

Publication Date

2019

Volume

64

Issue

3

Start / End Page

365 / 379

Location

United States

Related Subject Headings

  • Paranasal Sinuses
  • Orbital Pseudotumor
  • Ophthalmology & Optometry
  • Humans
  • Female
  • Exophthalmos
  • Adult
  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry
 

Citation

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ICMJE
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Proia, A. D., McCall, C. M., Kim, J. S., & Leyngold, I. M. (2019). Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses. Surv Ophthalmol, 64(3), 365–379. https://doi.org/10.1016/j.survophthal.2019.01.012
Proia, Alan D., Chad M. McCall, Jane S. Kim, and Ilya M. Leyngold. “Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses.Surv Ophthalmol 64, no. 3 (2019): 365–79. https://doi.org/10.1016/j.survophthal.2019.01.012.
Proia AD, McCall CM, Kim JS, Leyngold IM. Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses. Surv Ophthalmol. 2019;64(3):365–79.
Proia, Alan D., et al. “Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses.Surv Ophthalmol, vol. 64, no. 3, 2019, pp. 365–79. Pubmed, doi:10.1016/j.survophthal.2019.01.012.
Proia AD, McCall CM, Kim JS, Leyngold IM. Idiopathic orbital inflammation with bone destruction and extension into the paranasal sinuses. Surv Ophthalmol. 2019;64(3):365–379.
Journal cover image

Published In

Surv Ophthalmol

DOI

EISSN

1879-3304

Publication Date

2019

Volume

64

Issue

3

Start / End Page

365 / 379

Location

United States

Related Subject Headings

  • Paranasal Sinuses
  • Orbital Pseudotumor
  • Ophthalmology & Optometry
  • Humans
  • Female
  • Exophthalmos
  • Adult
  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry