Unilateral optic perineuritis due to nonspecific orbital inflammation: A case report

Orbit. 2017 Dec;36(6):452-455. doi: 10.1080/01676830.2017.1337185. Epub 2017 Aug 16.

Abstract

Nonspecific orbital inflammation is an idiopathic chronic tumor-like inflammation process that usually affects the orbital tissues of both eyes. Isolated optic nerve involvement by an idiopathic inflammatory process is a rare finding. Here, we report a patient with unilateral sudden onset severe orbital pain and headache with visual loss to no light perception that could only be attributed to perineuritis. Radiological findings enabled making the correct diagnosis. Various relevant diagnoses are also discussed.

Keywords: Isolated optic nerve involvement; nonspecific orbital inflammation; radiological findings.

Publication types

  • Case Reports

MeSH terms

  • Eye Pain / diagnosis
  • Eye Pain / drug therapy
  • Eye Pain / etiology
  • Glucocorticoids / administration & dosage
  • Humans
  • Inflammation / complications*
  • Inflammation / diagnostic imaging
  • Inflammation / drug therapy
  • Infusions, Intravenous
  • Magnetic Resonance Imaging
  • Male
  • Methylprednisolone / administration & dosage
  • Middle Aged
  • Optic Neuritis / diagnosis
  • Optic Neuritis / drug therapy
  • Optic Neuritis / etiology*
  • Orbital Diseases / complications*
  • Orbital Diseases / diagnostic imaging
  • Orbital Diseases / drug therapy
  • Tomography, X-Ray Computed
  • Vision Disorders / diagnosis
  • Vision Disorders / drug therapy
  • Vision Disorders / etiology

Substances

  • Glucocorticoids
  • Methylprednisolone