Medical College of Wisconsin
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Orbital inflammation. Curr Neurol Neurosci Rep 2003 Sep;3(5):401-9

Date

08/14/2003

Pubmed ID

12914683

DOI

10.1007/s11910-003-0023-z

Scopus ID

2-s2.0-0642275121 (requires institutional sign-in at Scopus site)   13 Citations

Abstract

Orbital inflammation is a common problem in adults and children, accounting for the majority of all orbital processes. The presentation may be acute, subacute, or insidious. When the onset is acute, the process can be mistaken for orbital cellulitis. In insidious cases, such as the sclerosing subtype of inflammation, the chronic painless course may prompt concerns about a neoplastic infiltration such as lymphoma. Orbital inflammation can be divided into nonspecific, idiopathic, and other specific diagnoses. The differential diagnosis includes allergic, infectious (fungal, mycobacterial, and parasitic), and neoplastic (lymphoma or metastatic) disease. Orbital inflammation impacts neurologists and neuro-ophthalmologists because all of the entities can cause afferent dysfunction (decreased vision, abnormal color perception, afferent pupillary defect, and visual field defect) and dysmotility. The pattern of motility deficit may mimic the more familiar cranial nerve palsies. Advances in the diagnosis and management of nonspecific orbital inflammation and the specific entities that cause orbital inflammation are discussed.

Author List

Cockerham KP, Hong SH, Browne EE

Author

Sang Hun Hong MD Assistant Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Diagnosis, Differential
Humans
Inflammation
Orbital Diseases