title: [Ocular myositis as a rare cause of vision loss].
abstract: Ocular myositis is a rare disease characterized by painful diplopia but loss of vision rarely occurs. The article reviews the literature focusing on the differential diagnostics. We report the case of an 80-year-old women suffering from slowly progressive loss of vision in the left eye. Diplopia was only present at the beginning and there was only moderate pain. Computed tomography and magnetic resonance imaging revealed a swelling of the left medial, lateral and inferior rectus muscles of the orbit leading to compression of the optic nerve in the orbital cone. An intravenous prednisolone stoss therapy (1000 mg per day for 3 consecutive days) was initiated, followed by oral medication of 100 mg per day then tapering over 10 weeks. Vision improved and no relapses were observed. Physicians should be aware of this rare disease to ensure quick diagnosis and treatment of ocular myositis.
authors.affiliation: Institut für neurorehabilitative Forschung (InFo), BDH-Klinik Hessisch Oldendorf gGmbH, Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH), Greitstr. 18-28, 31840, Hessisch Oldendorf, Deutschland. prof.rollnik@bdh-klinik-hessisch-oldendorf.de.
authors.forename: J D
authors.initials: JD
authors.lastname: Rollnik
authors.affiliation: Institut für neurorehabilitative Forschung (InFo), BDH-Klinik Hessisch Oldendorf gGmbH, Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH), Greitstr. 18-28, 31840, Hessisch Oldendorf, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Requadt
mesh_terms: D000284:Administration, Oral; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001766:Blindness / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D009220:Myositis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D009801:Oculomotor Muscles / Q000187:drug effects* / Q000473:pathology; D009916:Orbital Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D011239:Prednisolone / Q000008:administration & dosage*; D035583:Rare Diseases; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone
keywords: Diagnosis; Differential diagnosis; Ocular myositis; Prednisolone; Vision loss