Tuli Navneet
Department of Ophthalmology, Himalayan Institute of Medical Sciences, HIHT University, Swami Ram Nagar, Dehradun 248140, India.
Cases J. 2010 Jan 28;3:38. doi: 10.1186/1757-1626-3-38.
The common causes of orbital masses in pediatric age group include pseudotumour, lymphomas, hemangioma and dermoid cyst. Orbital tuberculosis is rare especially in children. We report a case of 5 year old child who presented with proptosis and gross diminution of vision due to orbital tuberculoma. Ocular examination of the left eye revealed proptosis with the eyeball displaced downwards and forwards. Vision was counting finger close to face. CT Scan showed an extraconal soft tissue mass along posteromedial side of left orbit with lateral displacement of medial rectus muscle. On antitubercular treatment, proptosis regressed and visual recovery was observed over a period of six month vision, in the left eye at the last followup was 20/30.
小儿眼眶肿物的常见病因包括炎性假瘤、淋巴瘤、血管瘤和皮样囊肿。眼眶结核较为罕见，尤其是在儿童中。我们报告一例5岁儿童，因眼眶结核瘤出现眼球突出和视力严重下降。左眼眼部检查显示眼球突出，眼球向前下方移位。视力为眼前指动。CT扫描显示左眼眶后内侧缘锥外软组织肿块，内直肌向外移位。经过抗结核治疗，眼球突出消退，在6个月的时间里观察到视力恢复，最后一次随访时左眼视力为20/30。
