دورية أكاديمية
Rapid Loss and Recovery of Vision Following Steroid Treatment in Orbital Myositis: A Case Report
| العنوان: | Rapid Loss and Recovery of Vision Following Steroid Treatment in Orbital Myositis: A Case Report |
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| المؤلفون: | Gavin Davis DO, Kin Li DO, Sebastien Fuchs MD, PhD, Andrew Pan DO |
| المصدر: | Journal of Investigative Medicine High Impact Case Reports, Vol 11 (2023) |
| بيانات النشر: | SAGE Publishing, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine (General) LCC:Pathology |
| مصطلحات موضوعية: | Medicine (General), R5-920, Pathology, RB1-214 |
| الوصف: | A 65-year-old African American man initially presented to the emergency department complaining of headaches, retro-orbital pressure, decreased vision, white flashes and floaters, and palinopsia of both eyes. After complete evaluation, he was diagnosed with migraine with aura and discharged to home with an ophthalmology follow-up. Upon follow-up with the ophthalmology team, he had developed severe periorbital inflammation, proptosis, chemosis, and vision loss that was greatest on the left side. The patient was immediately hospitalized for further evaluation and steroid treatment. His vision, ocular symptoms, and physical findings dramatically and rapidly improved with a 3-day course of high-dose intravenous steroids. Existing literature is sparse on rapid loss and recovery of vision following steroid treatment for orbital myositis. The exact mechanism of vision loss in orbital myositis is not understood and merits further investigation. Orbital myositis is a subset of nonspecific orbital inflammatory syndrome. It remains a poorly understood condition that mimics other, more common conditions such as thyroid eye disease and orbital cellulitis. If left untreated, orbital myositis could progress to the point of continued inflammation, enlargement of ocular tissues, ocular ischemia, and optic neuritis. To reverse these symptoms and prevent further progression, a quick diagnosis followed by steroid treatment is imperative. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2324-7096 23247096 |
| Relation: | https://doaj.org/toc/2324-7096 |
| DOI: | 10.1177/23247096221148261 |
| URL الوصول: | https://doaj.org/article/f600f72ae1044b649d0834b2a0ca7356 |
| رقم الأكسشن: | edsdoj.f600f72ae1044b649d0834b2a0ca7356 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23247096 |
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| DOI: | 10.1177/23247096221148261 |