Ulcerated conjunctival mass as an initial presentation of idiopathic orbital inflammatory disease: a case report

Authors

  • Ivan Hong Wan Lau Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong SAR; Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China https://orcid.org/0000-0003-3754-7432
  • Tracy Yuen Ting Kwok Department of Ophthalmology, Hong Kong Eye Hospital, Hong Kong SAR; Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China
  • Hunter Kwok Lai Yuen Department of Ophthalmology, Hong Kong Eye Hospital, Hong Kong SAR; Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China

Keywords:

Administration and dosage, Conjunctival disease, Diagnostic imaging, Drug therapy, Glucocorticoids, Orbital pseudotumor

Abstract

A 62-year-old Chinese woman, with a history of immunoglobulin A nephropathy, presented with an ulcerative conjunctival lesion and anterior orbital inflammation. No infective foci were found, and her symptoms were not alleviated by antibiotic treatment or drainage of the lesion. She was diagnosed with idiopathic orbital inflammatory disease, also known as orbital pseudotumor, which completely resolved with oral corticosteroid treatment. To the best of our knowledge, this is the first documented case of idiopathic orbital inflammatory disease that initially presented with an ulcerative conjunctival lesion. We illustrate our stepwise diagnostic approach and management of the disease.

References

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Published

2024-01-02

How to Cite

1.
Lau IHW, Kwok TYT, Yuen HKL. Ulcerated conjunctival mass as an initial presentation of idiopathic orbital inflammatory disease: a case report. Hong Kong J Ophthalmol [Internet]. 2024Jan.2 [cited 2024Mar.2];27(2). Available from: https://hkjo.hk/index.php/hkjo/article/view/368

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Section

Case Report