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Orbital giant cell myositis is an unusual and potentially lethal cause of bilateral ophthalmoplegia - A case report and literature review.
Jui-Chi Chang, Rachel; Kuang, Vivian; Meyer, Joos; Chang, Ewan; Roberts-Thomson, Samuel J; McKelvie, Penny; Hardy, Thomas G; Pick, Zelda S.
Affiliation
  • Jui-Chi Chang R; Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Australia.
  • Kuang V; Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Australia.
  • Meyer J; Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Australia.
  • Chang E; Department of Anatomical Pathology, Royal Melbourne Hospital, Parkville, Australia.
  • Roberts-Thomson SJ; Department of Anatomical Pathology, Royal Melbourne Hospital, Parkville, Australia.
  • McKelvie P; Department of Anatomical Pathology, St. Vincent's Hospital, Parkville, Australia.
  • Hardy TG; Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Australia.
  • Pick ZS; Department of Surgery, Royal Melbourne Hospital, University of Melbourne, Parkville, Australia.
Orbit ; 41(3): 354-360, 2022 Jun.
Article in En | MEDLINE | ID: mdl-33297808
ABSTRACT
We present a case of orbital giant cell myositis (OGCM), presenting with bilateral subacute progressive ophthalmoplegia and optic nerve dysfunction. An early extraocular muscle biopsy confirmed the diagnosis and guided appropriate management. Comprehensive investigation excluded any underlying systemic disease, including myocarditis. Twenty two months after presentation, the patient remains well on azathioprine with complete resolution of orbital signs.
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Full text: 1 Database: MEDLINE Main subject: Ophthalmoplegia / Orbital Myositis / Myositis Type of study: Diagnostic_studies / Systematic_reviews Limits: Humans Language: En Year: 2022 Type: Article
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Full text: 1 Database: MEDLINE Main subject: Ophthalmoplegia / Orbital Myositis / Myositis Type of study: Diagnostic_studies / Systematic_reviews Limits: Humans Language: En Year: 2022 Type: Article