Anterior uveitis as a clinical presentation of orbital inflammatory disease in an adult.
We report an unusual case of orbital inflammatory disease presenting as anterior uveitis in an adult. A 35-year-old Chinese man presented with acute anterior uveitis unresponsive to topical steroids, and progressed to manifest optic disc swelling and posterior scleritis. Computed tomography showed a mass-like soft tissue swelling within the intraconal fat indenting the posterior medial aspect of the globe. The diagnosis of orbital inflammatory disease was made, and the patient was treated with systemic corticosteroids with prompt resolution of symptoms and signs. Anterior uveitis can be considered an unusual ophthalmic manifestation of orbital inflammatory disease in adults.
Pang
C E
CE
Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore. claudine28@gmail.com
Teoh
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SC
D000328:Adult; D003937:Diagnosis, Differential; D018450:Disease Progression; D006801:Humans; D007249:Inflammation; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009916:Orbital Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011239:Prednisolone / Q000627:therapeutic use; D015423:Scleritis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013256:Steroids / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014606:Uveitis, Anterior / Q000175:diagnosis* / Q000000981:diagnostic imaging
D013256:Steroids; D011239:Prednisolone; D008775:Methylprednisolone