Rollnik J D, Requadt H
Institut für neurorehabilitative Forschung (InFo), BDH-Klinik Hessisch Oldendorf gGmbH, Assoziiertes Institut der Medizinischen Hochschule Hannover (MHH), Greitstr. 18-28, 31840, Hessisch Oldendorf, Deutschland.
Nervenarzt. 2017 Apr;88(4):415-418. doi: 10.1007/s00115-016-0272-0.
Ocular myositis is a rare disease characterized by painful diplopia but loss of vision rarely occurs. The article reviews the literature focusing on the differential diagnostics. We report the case of an 80-year-old women suffering from slowly progressive loss of vision in the left eye. Diplopia was only present at the beginning and there was only moderate pain. Computed tomography and magnetic resonance imaging revealed a swelling of the left medial, lateral and inferior rectus muscles of the orbit leading to compression of the optic nerve in the orbital cone. An intravenous prednisolone stoss therapy (1000 mg per day for 3 consecutive days) was initiated, followed by oral medication of 100 mg per day then tapering over 10 weeks. Vision improved and no relapses were observed. Physicians should be aware of this rare disease to ensure quick diagnosis and treatment of ocular myositis.
眼眶肌炎是一种罕见疾病，其特征为疼痛性复视，但很少出现视力丧失。本文回顾了聚焦于鉴别诊断的文献。我们报告了一例80岁女性患者，其左眼视力呈缓慢进行性丧失。复视仅在疾病初期出现，且仅有中度疼痛。计算机断层扫描和磁共振成像显示眼眶内侧、外侧及下直肌肿胀，导致眶尖部视神经受压。开始进行静脉注射甲泼尼龙冲击疗法（连续3天，每天1000毫克），随后口服药物，每天100毫克，然后在10周内逐渐减量。视力改善，未观察到复发情况。医生应了解这种罕见疾病，以确保对眼眶肌炎进行快速诊断和治疗。
