Orbital pseudotumour

Case contributed by Dr Varun Babu

Presentation

Known diabetic, hypertensive with recent onset unilateral eyelid swelling, mild proptosis and restriction of ocular movements

Patient Data

Age: 65 years
Gender: Female
Modality: CT

Dirtying of right retrobulbar orbitat fat with involvement of the anterior attachments of superior and lateral recti and also surrounding a mildly enlarged lacrimal gland. The other extraocular muscles, optic nerve, orbital apex, ophthalmic artery are normal. Associated preseptal edema present. 

Case Discussion

Idiopathic inflammation of the orbit is commonly encountered with involvement of extra ocular muscles, distinguished from thyroid ophthalmopathy by the involvement of tendinous insertions of muscles which is typically spared in the latter. 

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Case Information

rID: 51528
Case created: 23rd Feb 2017
Last edited: 25th Feb 2017
System: Head & Neck
Inclusion in quiz mode: Included

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