Cystoid Macular Edema as an Initial Symptom of Inflammatory Orbital Pseudotumor
作者:
Hiromasa Igarashi,
Sachiko Igarashi,
Satoshi Ishiko,
Katsuhiko Fukui,
Akitoshi Yoshida,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 4
页码: 236-241
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310798
出版商: S. Karger AG
关键词: Pseudotumor;Orbit;Cystoid macular edema;Intracranial extension
数据来源: Karger
摘要:
We report a patient with pseudotumor with cystoid macular edema (CME). The initial finding in our case was only CME with a bilateral visual acuity decrease to 20/25. Approximately 3 months later, the visual acuity dropped to light perception in the right eye and 20/200 in the left eye. Computed tomography scan revealed a mass in the right orbital apex and band-shaped enhancement in the cavernous sinus and along the upper margin of the petrous bone. However, no mass was found intraoperatively, and a biopsy specimen of the bulging levator muscle showed polymorphonuclear leukocyte infiltration. The CME resolved postoperatively. The tumor also seemed to resolve; however, after 1 year, the tumor recurred and invaded the brain tissue. A temporal lobectomy revealed widespread inflammatory cell infiltration. To ensure early diagnosis, pseudotumor should be considered in patients with CME of which the cause is uncertain.
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