(AK) Kaiser Permanente, Honolulu, Honolulu, Hawaii
Subject
Orbital Inflammation; Infection
History
The patient initially presented to me at age 19 years with a 'throbbing, aching pressure' behind her right eye and swelling of the right upper eyelid. Her pain was worse in lateral gaze, although she denied diplopia. She had been prescribed 60mg of prednisone by the referring provider, which reduced the swelling but not the degree of soreness. A review of the chart indicated that she had been having similar symptoms intermittently for eight years. Her visual acuity was 20/15 in the right eye, 20/20 in the left eye. Her pupils were briskly reactive; there was no relative afferent pupillary defect. Color vision was intact in both eyes. She had -1 adduction and abduction deficits in her right eye; her ductions were otherwise full. Exophthalmometry measured the right eye as 2mm more proptotic than the left eye. There was no lid lag in downgaze and no resistance to retropulsion on either eye. The right upper eyelid was 1mm more ptotic than the left. On slit lamp examination she had episcleral and scleral injection laterally on the right eye without chemosis. The remainder of the slit lamp and fundus examinations were unremarkable.
Disease/Diagnosis
Orbital cysticercosis
Date
2019-03
References
None.
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
2019 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2019
