Sarkar Sandip
Chandraprabha Eye Hospital, Jorhat, Assam, India.
Saudi J Ophthalmol. 2018 Oct-Dec;32(4):334-337. doi: 10.1016/j.sjopt.2018.03.007. Epub 2018 Apr 13.
Bilateral Idiopathic Orbital Inflammation Syndrome (IOIS) is rare in adults. Most commonly it affects the young adults and children. It is mostly unilateral condition. This is a case of 50 years old male coming with the complaints of painless proptosis on both the eyes for 1 year. The history of diplopia was also found. On examination, it was found that there was restriction of movements in Right eye superiorly. Any history of associated systemic illness was not found. Based on the clinical examination, laboratory reports and contrast enhanced computed tomography (CECT) the diagnosis of Bilateral IOIS was made. Patient was treated with Intravenous methyl prednisolone followed by oral Prednisolone in tapering doses for a period of 2 months. After 2 month of regular follow up the patient was found to have a favorable outcome with improved visual acuity and reduction in the size of the proptosed eye. Patient was followed up for another 6 month to observe any recurrence or relapse.
双侧特发性眼眶炎症综合征（IOIS）在成年人中较为罕见。它最常影响年轻人和儿童。多数情况下为单侧发病。本文报告一例50岁男性患者，双眼无痛性眼球突出1年，并伴有复视症状。检查发现右眼上转运动受限，未发现相关全身疾病史。根据临床检查、实验室报告及增强CT检查结果，确诊为双侧IOIS。患者接受静脉注射甲泼尼龙治疗，随后口服泼尼松龙并逐渐减量，疗程2个月。经过2个月的定期随访，患者视力改善，眼球突出度减小，预后良好。此后继续随访6个月，观察有无复发或病情反复。
