Barnes C
Department of Surgery, Eye Unit, Westmead Hospital, Sydney, New South Wales, Australia.
Aust N Z J Ophthalmol. 1990 Aug;18(3):251-5.
Orbital myositis is an idiopathic inflammatory condition involving the extraocular muscles. A case of presumed orbital myositis is presented, displaying typical features on orbital computed tomography, and a dramatic response to corticosteroid therapy. Atypical features of acute-on-chronic course, and concomitant sinus disease are discussed. A differential diagnosis of enlarged extraocular muscles is also discussed, and the benefits of corticosteroid trial before formal biopsy in the appropriate clinical setting is emphasised.
眼眶肌炎是一种累及眼外肌的特发性炎症性疾病。本文报告一例疑似眼眶肌炎病例，其在眼眶计算机断层扫描上显示出典型特征，并对皮质类固醇治疗有显著反应。文中讨论了急性起病慢性病程及合并鼻窦疾病的非典型特征。还讨论了眼外肌增大的鉴别诊断，并强调了在适当临床情况下进行正式活检前进行皮质类固醇试验的益处。
