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Sharifzadeh Kermani M, Farsi M, Sharifi A, Sardarinia M, Zand A. Central serous chorioretinopathy associated with nonspecific orbital inflammation: a case report. J Int Med Res 2024; 52:3000605241233963. [PMID: 38436326 PMCID: PMC10913497 DOI: 10.1177/03000605241233963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/29/2024] [Indexed: 03/05/2024] Open
Abstract
We herein present a rare case of acute central serous chorioretinopathy (CSC) associated with nonspecific orbital inflammation (NSOI). A 38-year-old woman presented with a 3-day history of ocular pain, reduced vision, periorbital swelling, proptosis, conjunctival chemosis, and restricted eye movements. Optical coherence tomography of the affected eye confirmed signs of CSC. Additionally, a computed tomography scan revealed enlargement of intraconal soft tissues and the lacrimal gland. Ocular ultrasonography detected posterior sclera thickening, indicating posterior scleritis. Following the diagnosis of NSOI, the patient received treatment with systemic corticosteroids, resulting in gradual regression of both the orbital inflammation and CSC. This is the first reported case of localized posterior pole CSC documented in a patient with NSOI. Vigilant monitoring for any ocular disorders is important in patients with orbital inflammation.
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Affiliation(s)
| | - Maryam Farsi
- Department of Ophthalmology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Ali Sharifi
- Department of Ophthalmology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahsa Sardarinia
- Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Amin Zand
- Department of Ophthalmology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
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Sato Y, Mano N, Watanabe H, Miyamoto M, Shimizu K, Mukai N, Mimura M, Oku H, Ikeda T. A Case of Idiopathic Orbital Inflammation with Shallow Anterior Chamber and Choroidal Detachment. Case Rep Ophthalmol 2020; 11:8-15. [PMID: 32009933 PMCID: PMC6984139 DOI: 10.1159/000505314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Accepted: 12/08/2019] [Indexed: 11/19/2022] Open
Abstract
We report a case of idiopathic orbital inflammation with a shallow anterior chamber and choroidal detachments. This study involved an 87-year-old female patient who presented at our department after becoming aware of the progression of diplopia. Examination of the patient's right eye revealed proptosis, as well as conjunctival edema with dilated and tortuous blood vessels. The right-eye anterior chamber was shallow, and fundus examination revealed marked choroidal detachments. Magnetic resonance imaging revealed enlargement of the right-orbit extraocular muscles and a suspected compression of the right-orbit superior and inferior ophthalmic veins, yet no expansion of the cavernous sinus. We diagnosed the patient as having idiopathic orbital inflammation in her right orbit, and subsequently started corticosteroid therapy. One week after initiating treatment, the anterior chamber was found to be nearing a normal depth, and the choroidal detachments were found to have disappeared. Our findings revealed that the inflammatory swelling of the extraocular muscle due to idiopathic orbital inflammation resulted in compression of the right-orbit superior and inferior ophthalmic veins, thus leading to an apparent choroidal circulation disorder that presented with a shallow anterior chamber and marked choroidal detachments.
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Affiliation(s)
- Yohei Sato
- Department of Ophthalmology, Takatsuki Hospital, Takatsuki City, Japan.,Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Natsuko Mano
- Department of Ophthalmology, Takatsuki Hospital, Takatsuki City, Japan.,Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Hiroko Watanabe
- Department of Ophthalmology, Takatsuki Hospital, Takatsuki City, Japan.,Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Makiko Miyamoto
- Department of Ophthalmology, Takatsuki Hospital, Takatsuki City, Japan.,Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Kazuhiro Shimizu
- Department of Ophthalmology, Takatsuki Hospital, Takatsuki City, Japan.,Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Noriko Mukai
- Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Masashi Mimura
- Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Hidehiro Oku
- Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
| | - Tsunehiko Ikeda
- Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan
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