AN UNUSUAL PRESENTATION OF ORBITAL PSEUDOTUMOR

Abstract

The term orbital pseudotumor refers to a broad category of non-specic idiopathic inammations of the orbit, which may affect any orbital structure. A 28-year-old female presented with swelling in the right upper eyelid for 1 month associated with pain and mild redness of the eye. She was previously been seen by other ophthalmologists and diagnosed as Hordeolum Internum prescribed oral antibiotics and advised incision and drainage. She visited our OPD for secondary opinion and surgical treatment. Best Corrected Visual Acuity- R/E- 6/9, LE -6/6P. No Proptosis. No Limitation of Extra Ocular Movements. Considering the clinical presentation of the patient Computed Tomography orbit was advised, revealed abnormal soft tissue density in lateral aspect of right orbit within extraconal compartment suggestive of Orbital Pseudotumor. The patient was started on oral steroids and had a favourable outcome with no recurrence till date.