| Past Issue | Volume 7, Number 4, 2005 | | Unilateral Proptosis and Bilateral Uveitis in a Child with Idiopathic Orbital Inflammation |
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M Yusuf Shaikh,1 Ismael Ghamdi2
1Eye Department, The Ayr Hospital, Ayr, UK, and 2King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
A 14-year-old child presented with unilateral right-sided acute onset proptosis. The diagnosis of idiopathic orbital inflammation was made after the clinical and laboratory investigations revealed no local or systemic identifiable causes. Moderate anterior chamber activity was present on the same side as the proptosis as well as in the contralateral asymptomatic eye. There was bilateral disc oedema.The presence of a bilateral idiopathic orbital inflammatory process was suggested radiologically by a computed tomography scan showing evidence of extensive diffuse anterior inflammatory infiltrate in the right orbit and periscleral infiltrate in the left orbit. However, the only clinical manifestation of idiopathic orbital inflammation in the eye with no proptosis was anterior uveitis. Idiopathic orbital inflammation should be considered in the differential diagnosis of paediatric uveitis, even in the absence of proptosis.
Key Words: Inflammation, Uveitis, anterior
Asian J Ophthalmol 2005;7(4):154-155.
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