Double vision, visual loss, and an enhancing orbital apex.
A 70-year-old man presented with mild retrobulbar discomfort and diplopia with a marked left abduction deficit. Three days later the patient noted a sudden decrease of vision in his left eye. A CT scan revealed enhancement of structures of the left orbital apex. A discussion of the differential diagnosis, appropriate testing procedures, and suggested treatment is included. The patient responded to corticosteroid therapy with complete resolution of the problem.
Burde
R M
RM
Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Hospital and Medical Center, Bronx, New York.
Gittinger
J W
JW
Keltner
J L
JL
Miller
N R
NR
D000368:Aged; D003937:Diagnosis, Differential; D004172:Diplopia / Q000473:pathology*; D006801:Humans; D008297:Male; D009886:Ophthalmoplegia / Q000473:pathology; D009916:Orbital Diseases / Q000473:pathology*; D010000:Osteitis / Q000473:pathology; D013577:Syndrome; D014786:Vision Disorders / Q000473:pathology*