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Ophthal Plast Reconstr Surg. 2011 Mar-Apr;27(2):e46-7. doi: 10.1097/IOP.0b013e3181e99cdf.

Idiopathic orbital inflammation leading to unilateral blindness over a 2-day presentation in a child.

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1
Scheie Eye Institute, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

Abstract

An 8-year-old boy developed vision loss to no light perception on the left side over a 2-day period. He initially presented with unilateral eyelid swelling, which progressed to bilateral edema and an eventual left-sided orbital apex syndrome. Orbital imaging revealed enlarged extraocular muscles, and biopsy confirmed idiopathic orbital inflammation. Despite subsequent orbital decompression, high-dose steroids, and additional steroid-sparing therapy, he did not regain vision after 9 months of follow up.

PMID:
20859233
DOI:
10.1097/IOP.0b013e3181e99cdf
[Indexed for MEDLINE]
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