A sighting of orbital pseudotumor.
A 39-year-old woman developed bilateral proptosis, photophobia, and pain with extraocular movements over the course of 5 days. Her findings initially were ocular pain and photophobia which progressed to periorbital edema and nasal discharge ultimately resulting in proptosis with vertical globe displacement and decreased visual acuity. She was diagnosed with corneal abrasion and sinusitis respectively during two initial emergency department visits. On her third visit to the emergency department within 4 days, she developed acute visual deficits. The patient was subsequently diagnosed with orbital pseudotumor after computed tomography scan revealed inflammation of orbital structures bilaterally.
Martin
J
J
Department of Emergency Medicine, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
Datner
E M
EM
Perrone
J
J
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D065306:Corneal Injuries; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004487:Edema / Q000209:etiology; D004638:Emergency Treatment / Q000379:methods*; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006801:Humans; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use; D016727:Orbital Pseudotumor / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D010146:Pain / Q000209:etiology; D020795:Photophobia / Q000209:etiology; D012852:Sinusitis / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology
D000893:Anti-Inflammatory Agents; D002511:Cephalosporins; D008776:Methylprednisolone Hemisuccinate; D002437:Cefazolin