Clinical Presentation and Management of Patients of Idiopathic Inflammatory Orbital Disease Presenting to a Regional Institute of Ophthalmology

ABSTRACT

Background: Idiopathic orbital inflammatory disease has myriad clinical presentations. It is a common presentation to our oculoplasty clinics. The management is with anti inflammatory agents. The relapsing nature and the occasionally encountered refractory cases make it a clinical challenge. Aim: The aim of the study is to document the clinical presentation and management of fifteen consecutive cases of idiopathic orbital inflammatory disease seen at a regional institute of ophthalmology. Methods:The clinical presentation of fifteen consecutive cases of idiopathic orbital inflammatory disease were documented. Serology was carried out to rule out specific causes of orbital inflammation. A Computed tomography scan was carried out to document the findings and confirm the diagnosis. Results: Five cases presented to us with dacryoadenitis. Seven patients presented with proptosis with accompanying ophthalmoplegia.Three cases presented to us with orbital apex syndrome.Five cases presented to us with myositis with ocular motility restriction with good vision. Discussion: Idiopathic orbital inflammatory disease has been reported by many research workers acroos the globe. Our study presents a unique perspective on this entity from our part of the world. Conclusion: The clinical presentation and management of idiopathic orbital inflammatory disease at our western regional institute of ophthalmology is documented.