title: Double vision, visual loss, and an enhancing orbital apex.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Hospital and Medical Center, Bronx, New York.
authors.forename: R M
authors.initials: RM
authors.lastname: Burde
authors.forename: J W
authors.initials: JW
authors.lastname: Gittinger
authors.forename: J L
authors.initials: JL
authors.lastname: Keltner
authors.forename: N R
authors.initials: NR
authors.lastname: Miller
mesh_terms: 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*