Metro Eye Centre, Lagos, Nigeria.
Guinness Eye Centre, Lagos University Teaching Hospital, Lagos, Nigeria.
Pan Afr Med J. 2021 Feb 12;38:166. doi: 10.11604/pamj.2021.38.166.27121. eCollection 2021.
Orbital inflammatory disease, sequel to epidemic keratoconjunctivitis is an uncommon finding in adult patients. A 36-year-old male presented at the clinic with a 4-day history of left ocular pain and a one-month history of left eye redness and watering. Visual acuity in the eye was 6/5, with reduced red-color saturation and light brightness appreciation. Left eye examination showed periorbital fullness, a palpably enlarged and tender lacrimal gland, conjunctival follicles with pseudomembranes, and restriction of extraocular motility. Magnetic resonance imaging showed homogenous enhancement of the left lacrimal gland, lateral rectus muscle, pre and post-septal soft tissues. A diagnosis of left orbital inflammatory disease secondary to epidemic keratoconjunctivitis was made and patient was treated with high dose oral steroids over the course of 7 weeks, with complete resolution of clinical symptoms. In conclusion, orbital inflammatory disease can develop following epidemic keratoconjuctivitis in adults with good clinical response to oral steroids. Clinicians should have a high index of suspicion when assessing adult patients for orbital inflammatory disease.
眼眶炎性疾病是流行性角膜结膜炎的后遗症，在成年患者中并不常见。一名 36 岁男性因左眼疼痛 4 天，左眼发红和流泪 1 个月就诊于诊所。该眼视力为 6/5，红色饱和度和光亮度感知降低。左眼检查显示眶周饱满，可触及肿大和触痛的泪腺，结膜滤泡伴伪膜，以及眼球运动受限。磁共振成像显示左侧泪腺、外直肌、隔前和隔后软组织均匀强化。诊断为左侧眼眶炎性疾病继发于流行性角膜结膜炎，患者接受了 7 周的大剂量口服类固醇治疗，临床症状完全缓解。总之，成人流行性角膜结膜炎后可发生眼眶炎性疾病，对口服类固醇有良好的临床反应。临床医生在评估成年患者的眼眶炎性疾病时应保持高度警惕。
