Tropical Journal of Pharmaceutical Research

Case Report | OPEN ACCESS

A case study on idiopathic orbital pseudotumor: Surgery and steroid treatment

Jian-Feng Zhu¹, Wei-Jiao Zhan¹, Li-Hua Wang², Yan-Hong Wang³

¹Department of Ophthalmology, Linyi municipal hospital, Linyi 276003; ²Department of Ophthalmology, Provincial Hospital affiliated to Shandong University, Jinan 250021; ³Department of Ophthalmology, WomenA286;children’s health care hospital of Linyi, Jinan 276016, China.

For correspondence:- Yan-Hong Wang Email: wanglhglasses@gmail.com Tel:+865398125509

Received: 15 April 2015 Accepted: 4 October 2015 Published: 29 November 2015

Citation: Zhu J, Zhan W, Wang L, Wang Y. A case study on idiopathic orbital pseudotumor: Surgery and steroid treatment. Trop J Pharm Res 2015; 14(11):2135-2138 doi: 10.4314/tjpr.v14i10.27

© 2015 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

This is a case study of five isolated orbital nerve inflammatory pseudotumor cases presenting with protrusion and visual acuity of the right eye. Optic disk edema was observed by ophthalmoscopy. Plain and contrast-enhanced magnetic resonance imaging (MRI) were used to examine the orbital fat and enlargement of the right optic nerve sheath along with orbital magnetic resonance imaging diagnostic test. The visual acuity (VA) of all the admitted patients was 1.5/20. All the patients reported attacks of retrobulbar pain and severe headache at fairly regular intervals. The patients on clinical examination were found to have protrusion, reduced visual acuity of the right eye with an ipsilateral afferent pupillary defect. There was no motility of the right eye and the exophthalmos of the right part was 27 mm. On examination, patients were diagnosed to have idiopathic orbital inflammation and received steroid therapy for 6 months. Thereafter, patients received surgical treatment to remove the superior wall of the orbit followed by cortisone therapy for a further 6 months. The follow-up examination of the patients for one year revealed a gradual improvement in the vision of all the patients. The VA of the right eye for all the patients was 6/20, and the exophthalmos was now around 19 mm. Thus, a dramatic response to surgery and steroid treatment was observed in all the patients.

Keywords: Orbital fat, Visual acuity, Optic disk edema, Optic nerve, Cortisone therapy