Document Detail

Combined central retinal artery and vein occlusion from orbital inflammatory pseudotumour.
MedLine Citation:
PMID:  15281983     Owner:  NLM     Status:  MEDLINE    
Progressive, painful blurred vision and proptosis developed in the left eye of a 32-year-old man over an 8-day period. On initial neuro-ophthalmic evaluation the visual acuity in the left eye was no light perception. Erythema of the periorbital skin, 5 mm of proptosis, and ophthalmoplegia were noted on the left side. Funduscopy revealed occlusion of the central retinal artery and central retinal vein. Computed tomography and magnetic resonance imaging revealed marked distension of the left optic nerve and enhancement of the contents within the left orbit, with clear paranasal sinuses. The diagnosis of orbital inflammatory pseudotumour was made and the orbital signs improved rapidly with 80 mg of prednisone per day. Combined occlusion of the central retinal artery and vein is a rare complication of orbital inflammatory pseudotumour. It is postulated that marked distension of the optic nerve caused mechanical compression of the central retinal vessels leading to the vascular occlusions.
Rod Foroozan
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Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  32     ISSN:  1442-6404     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-29     Completed Date:  2004-10-18     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  435-7     Citation Subset:  IM    
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MeSH Terms
Exophthalmos / etiology
Fluorescein Angiography
Glucocorticoids / therapeutic use
Magnetic Resonance Imaging
Orbital Pseudotumor / complications*,  diagnosis,  drug therapy
Pain / etiology
Prednisone / therapeutic use
Retinal Artery Occlusion / diagnosis,  drug therapy,  etiology*
Retinal Vein Occlusion / diagnosis,  drug therapy,  etiology*
Tomography, X-Ray Computed
Vision Disorders / etiology
Reg. No./Substance:
0/Glucocorticoids; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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