J Korean Ophthalmol Soc.  2006 Jul;47(7):1149-1154.

A Case of Nonspecific Orbital Inflammation in Anophthalmia

• Park HK
• Ha HS
• Kim JC

Abstract

PURPOSE: We report a case of orbital pseudotumor developed in an anophthalmic socket, presenting no typical symptoms or signs.
METHODS
A 67-year-old woman was referred for treatment of necrotizing scleritis of her left eye and painful orbital pseudotumor of her right eye. The right eye had been removed 10 years previously. There was an irregular mass in superomedial portion of anterior orbit. Orbital MRI showed poorly defined T1 iso and low T2 signal intensity of a lesion in the medial anterior portion of the right orbit. Because systemic steroid administration was limited, 2 mg of betamethasone was injected locally, after which the size of the lesion was decreased and the orbital pain improved.
CONCLUSIONS
The diagnosis of an orbital pseudotumor developed in an anophthalmic socket may be difficult because of the lack of typical eyeball-related signs or symptoms such as proptosis, red eye, or decreased vision. But, the easy access to the lesion can provide early and effective treatment through direct injection of glucocorticoid.

Keyword

Anophthalmic socket; Necrotizing scleritis; Orbital pseudotumor

MeSH Terms

Aged
Anophthalmos*
Betamethasone
Diagnosis
Exophthalmos
Female
Humans
Inflammation*
Magnetic Resonance Imaging
Orbit*
Orbital Pseudotumor
Scleritis
Betamethasone