Abstract
A 58-year-old man presented with left-sided orbital inflammation, including chemosis and a lateral rectus abduction defect. Initially presumed to represent cellulitis, the condition responded poorly to oral and intravenous antibiotics. CT showed the epicenter of an infiltrate to involve the lateral rectus. The patient improved dramatically when oral prednisone was added. Lateral rectus biopsy displayed intramuscular polyclonal lymphoid infiltrates, rich with eosinophils. Complete resolution of the inflammatory process was confirmed by a follow-up CT. The presumptive diagnosis was idiopathic orbital myositis, an uncommon condition of unknown etiology. However, the patient had taken rosuvastatin, which has been rarely associated with diplopia and ophthalmoplegia, raising the question of whether this case was truly idiopathic.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E141-E143 |
| Journal | Ophthalmic plastic and reconstructive surgery |
| Volume | 37 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1 2021 |
Funding
*Department of Ophthalmology, and †Department of Pathology, New York University Langone Medical Center, New York, New York. Accepted for publication November 21, 2020. Supported in part by an unrestricted grant from Research to Prevent Blindness to Department of Ophthalmology, NYU Langone Health. The authors have no conflicts of interest to disclose. Address correspondence and reprint requests to Norman C. Charles, M.D., Department of Ophthalmology, New York University Langone Medical Center, 550 First Avenue, New York, NY 10016. E-mail: norman. [email protected].
ASJC Scopus subject areas
- Ophthalmology
- Surgery