Orbital myositis in scleritis
| Autor: | Zita F. H. M. Boonman, R. J. W. De Keizer, P G Watson, H S Graniewski-Wijnands |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Visual Acuity Extraocular muscles Idiopathic orbital inflammatory disease Cellular and Molecular Neuroscience Orbital Myositis Orbital Pseudotumor medicine Humans Myositis Aged Retrospective Studies Ultrasonography Diplopia business.industry Episcleritis Middle Aged Prognosis medicine.disease Dermatology eye diseases Sensory Systems Surgery Posterior segment of eyeball Ophthalmology medicine.anatomical_structure Female sense organs medicine.symptom business Scientific Correspondence Scleritis |
| Zdroj: | British Journal of Ophthalmology. 87:38-42 |
| ISSN: | 0007-1161 |
| Popis: | Inflammation of the wall of the eye and its mesodermal coverings can present in many ways from the benign simple episcleritis to the severe necrotising scleritis and is sometimes known to involve the overlying muscles. The differential diagnosis of episcleritis from scleritis and between diffuse, nodular, and necrotising disease affecting the anterior segment of the eye is well recognised.1 It is also known that the condition with which the patient first presents usually continues throughout the course of the disease.2 Scleritis is a serious, usually painful, progressive disease of the sclera itself, which if left untreated can seriously affect vision. Diffuse and nodular anterior scleritis if treated early does not normally result in any major complications but if the inflammation extends to or affects the posterior segment of the eye, it frequently results in visual loss. Recent studies using B scan ultrasonography have shown that both episcleritis and scleritis may involve the posterior segment even though there are no clinical signs. Even minor changes in the posterior segment can threaten vision.3 Primary idiopathic orbital myositis is a relatively common subtype of idiopathic orbital inflammatory disease (IOID) in which one or more of the extraocular muscles are affected. The clinical course of orbital myositis is usually characterised by an acute onset, severe pain in and around the eye, pain on movement, occasional diplopia and chemosis, a rapid response to systemic steroids and short duration, although recurrences may occur in some cases.4,5 These symptoms and signs are very similar to those encountered in patients with posterior scleritis. This study was instituted to determine the importance of the association between myositis and scleritis, whether the extraocular muscles were involved secondary to the scleral disease, and whether it was sometimes bilateral even though only one eye was affected with the scleral disease. |
| Databáze: | OpenAIRE |
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